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目的探讨急性心肌梗塞(AMI)患者血清肌钙蛋白I(CTnⅠ)含量变化的临床意义。方法对32例急性心肌梗塞患者和36例健康对照者血清中肌特异性肌钙蛋白I和磷酸肌酸激酶(CK-MB同功酶)活性进行检测,并分析其与AMI临床特征的关系。结果所有36例健康对照者血清CTnⅠ均为阴性;32例急性心肌梗塞患者中28例CTnⅠ阳性,25例CK-MB阳性。结论CTnⅠ是一个特异、敏感的反映心肌损伤的血清标记物。
Objective To investigate the clinical significance of the change of serum troponin I (CTnⅠ) in patients with acute myocardial infarction (AMI). Methods Serum specific troponin I and creatine phosphokinase (CK-MB isoenzyme) activity in 32 patients with acute myocardial infarction and 36 healthy controls were measured and their relationship with clinical features of AMI was analyzed. Results Serum CTnⅠ was negative in all 36 healthy controls; CTnⅠ was positive in 28 cases and CK-MB was positive in 25 cases in 32 cases of acute myocardial infarction. Conclusion CTn Ⅰ is a specific and sensitive serum marker that reflects myocardial injury.