作　　者： (王艳翠）;

机构地区： 山东省淄博市张店区人民医院急诊科,山东淄博255025

出　　处： 《系统医学》 2017年第5期29-32,共4页

摘　　要： 目的探讨急性心肌梗死患者肺部感染和血浆D-二聚体及心梗指标变化的关系。方法随机选取2014年5月—2016年5月该院心内科收治的80例急性心肌梗死患者,依据是否发生肺部感染分这些患者为两组,即感染组(n=40)和未感染组(n=40)。将两组患者的基本信息及相关病史详细记录下来,同时给予患者及时有效的对症支持治疗。运用酶联免疫吸附法对两组患者的血浆D-dimer和c Tn T、Mb、CK-MB3项心梗指标进行检测,然后对两组患者入院时、感染发生后、出院时的D-dimer和3项心梗指标变化情况进行统计分析。结果入院时两组患者的D-dimer、c Tn T、Mb、CK-MB水平之间的差异无统计学意义(P>0.05),感染发生后、出院时感染组患者的D-dimer、c Tn T、Mb、CK-MB水平(600.40±103.00)μg/L、(0.41±0.07)ng/m L、(104.20±6.50)ng/m L、(8.24±0.45)ng/m L,(200.40±90.50)μg/L、(0.08±0.03)ng/m L、(70.20±3.00)ng/m L、(4.54±0.35)ng/m L均显著高于未感染组(265.20±110.00)μg/L、(0.14±0.05)ng/m L、(86.20±4.50)ng/m L、(5.24±0.45)ng/m L,(146.40±97.50)μg/L、(0.02±0.02)ng/m L、(40.20±5.00)ng/m L、(3.04±0.35)ng/m L(P<0.05)。结论急性心肌梗死患者并发肺部感染会提升血浆D-dimer、c Tn T、Mb、CK-MB水平。 Objective To discuss the correlation between the lung infection and plasma D-dimer and cardiac infarction index changes of patients with acute cardiac infarction. Methods 80 cases of patients with acute cardiac infarction in our department in our hospital from May 2014 to May 2016 were randomly selected and divided into two groups accord- ing to whether the patients were with lung infection or not with 40 cases in each, the basic information and related medical history were recorded in detail, and both groups were given the timely, effective and symptomatic support treatment, and the plasma D-dimer, cTnT, Mb, CK-MB at admission and after infection and discharge were counted and analyzed. Results At admission, the differences in the D-dimer, cTnT, Mb, CK-MB between the two groups had no statistical significance（P〉0.05）, the D-dimer, cTnT, Mb, CK-MB levels after infection and discharge in the infection group were obviously better than those in the non-infection group, [（600.40±103.00）μg/L, （0.41±0.07）ng/mL（104.20±6.50）ng/mL, （8.24±0.45）ng/mL, （200.40±90.50）μg/L, （0.08±0.03）ng/mL, （70.20±3.00）ng/mL, （4.54±0.35）ng/mL vs （265.20±110.00）μg/L, （0.14 ±0.05）ng/mL, （86.20 ±4.50）ng/mL, （5.24 ±0.45）ng/mL, （146.40 ±97.50）μg/L, （0.02 ±0.02）ng/mL（40.20 ±5.00）ng/mL, （3.04±0.35）ng/mL] （P〈0.05）. Conclusion The patients with acute cardiac infarction complicated by the lung infection can improve the plasma D-dimer, cTnT, Mb, CK-MB levels.

关 键 词： 急性心肌梗死 肺部感染 血浆 二聚体 心梗指标 关系