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目的探讨快速检测肌钙蛋白T(c Tn T)在急性心肌梗死患者急诊中的临床应用价值。方法将120例急性心肌梗死患者随机平均分为A、B、C三组。A组患者检测心电图,采用12导联法;B组给予快速检测肌钙蛋白T,C组进行血清心肌酶检测。比较三组患者检测结果的准确率。结果 C组阳性符合率最高,为92.50%,A组符合率为60.0%,B组符合率为87.50%;B、C组间比较差异未见统计学意义(P>0.05);A组阳性符合率远低于B、C组符合率,差异有统计学意义(P<0.05)。在拟诊到确诊的时间间隔方面,心电图用时(8.43±2.31)min,快速检测c Tn T需要(40.12±2.44)min,血清心肌酶用时(145.54±3.65)min。结论急检肌钙蛋白T对急性心肌梗死患者的急诊中耗时较短,准确率较高,值得临床上推广应用。
Objective To investigate the clinical value of rapid detection of troponin T (c Tn T) in emergency patients with acute myocardial infarction. Methods 120 patients with acute myocardial infarction were randomly divided into A, B and C groups. A group of patients ECG test, using the 12 lead method; B group for rapid detection of troponin T, C group serum myocardial enzyme test. Comparison of three groups of patients the accuracy of test results. Results The positive coincidence rate was 92.50% in group C, the coincidence rate was 60.0% in group A, and the coincidence rate in group B was 87.50%. There was no significant difference between group B and group C (P> 0.05) The rate was much lower than that of B and C groups, with significant difference (P <0.05). The duration of ECG diagnosis was 8.43 ± 2.31 min, the fast detection of cTn T was (40.12 ± 2.44) min, and the serum myocardial enzyme was (145.54 ± 3.65) min. Conclusion Acute Troponin T has a short time-consuming and high accuracy in the emergency department of patients with acute myocardial infarction. It is worth to be popularized clinically.