| 急性脑梗死血清肌钙蛋白-T升高的临床观察 |
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| 引用本文： | 黄立,龚细礼,杜芬,杜小平. 急性脑梗死血清肌钙蛋白-T升高的临床观察[J]. 现代生物医学进展, 2010, 10(4) |
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| 作者姓名： | 黄立 龚细礼 杜芬 杜小平 |
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| 作者单位： | 1. 湖南师范大学附属湘东医院神经内科,湖南,醴陵,412200
2. 中南大学湘雅医院神经内科,湖南,长沙,410000 |
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| 摘 要： | 目的:探讨急性脑梗死患者血清肌钙蛋白水平升高与梗死严重程度、梗死部位和预后的关系。方法:247例急性脑梗死患者,在住院的第一天内完成12导联心电图及血清肌钙蛋白-T(cTnT)水平的检查。以0.5ng/ml为界,将患者分为cTnT水平升高组和cTnT水平正常组。结果:26例(10.5%)血清cTnT水平升高。与cTnT水平正常组相比,cTnT水平升高组患者入院时NIHSS评分更严重,岛叶受累的发生率更高,预后较差,异常心电图发生率较高。结论:血清cTnT水平升高的急性脑梗死患者梗死更严重,预后较差,这些患者大多岛叶受累和ECG异常。
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| 关 键 词： | 肌钙蛋白 脑梗死 预后 |
On the serum concentrations of troponin T in acute ischemic stroke |
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| HUANG Li,GONG Xi-li,DU Fen,DU Xiao-ping. On the serum concentrations of troponin T in acute ischemic stroke[J]. Progress in Modern Biomedicine, 2010, 10(4) |
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| Authors: | HUANG Li GONG Xi-li DU Fen DU Xiao-ping |
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| Affiliation: | HUANG Li1,GONG Xi-li1,DU Fen1,DU Xiao-ping2 (1 The affiliated Xiangdong hospital of Hunan Normal University,412200,China,2 Xiangya Hospital,Central South University,Changsha 410000,China) |
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| Abstract: | Objective: To identify the relationships between elevated cTnT and stroke severity, location, and prognosis. Methods: Cardiac Troponin T (cTnT) concentrations and 12-lead electrocardiograms were obtained during the first day of admission in 247 patients with acute ischemic stroke but without overt ischemic heart disease. The cut-off value for elevated serum cTnT was set at 0.5ng/ml. Patients were divided into 2 groups: an elevated cTnT group and a normal cTnT group. Results: Serum cTnT was elevated in 10.5%... |
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| Keywords: | Cardiac troponin T (cTnT) Stroke Prognosis |
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