摘要目的 探讨心肌肌钙蛋白Ⅰ(Cardiac troponini,CTnI)与肺心病患者心肌损伤严重程度的关系及在预后判断中的意义.方法 测定我院2006年1月-2007年1月收治30例肺心病患者的血清(CTnI、CKMB、MYO水平;比较分析各组患者死亡与存活、肺心病代偿期与失代偿期以及缺氧程度的CTnI水平.结果 结果显示PO2水平与CTnI呈显著性负相关.死亡组与存活组及肺心病代偿组与失代偿组的血清CTnI水平比较,均有显著性差异(P＜0.05).结论 CtnI的升高程度对判断肺心病心肌损伤程度、病情严重程度和评价预后有意义.

abstractsObjective To investigate the relationship between cardiac troponin T(CTn1)and the severity of myocardial injury in patients with pneumocardial disease and significance of prognosis judge.Method The levels of CTn1 and CKMB(MB isoenzyme of creatine kinase)and MYO(myoglobin)were detected in 30 patients with pneumocardial disease.Also the relationship between the levels CTn1 and that of patients death,survival,hypoxia degree were statistics analyzed.Result PO2 level and serum CTn1 were of significanfly negative correlation,the level of serum CTn1 in the group of death and survival and pulmonary heart disease conpensation stage and discompensation stage embodied significant differences respectively(P<O.05).Conclusion The levels of Ctn1 play an import role in determining the severity of myocardial injury and prognosis of pulmonary heart disease.