血浆B型利钠肽快速测定鉴别心源性和肺源性呼吸困难
被引量:2
摘要
临床上心源性和肺源性呼吸困难的鉴别有时比较困难,而二者的处理原则完全不同。多项针对急性呼吸困难的研究显示,心力衰竭性急性呼吸困难患者的血浆B型利钠肽(BNP)浓度显著高于非心衰者,具有较高的特异性和敏感性。本试验希望通过发现血浆BNP浓度在心源性和肺源性呼吸困难之间的差别,分析其对两者鉴别诊断的价值。
出处
《临床急诊杂志》
CAS
2006年第1期27-28,共2页
Journal of Clinical Emergency
参考文献4
-
1PICKSTEIN K. Natriuretic peptides in detection of heart failure [ J ] Lancet, 1998,35:3.
-
2MAISEL AS,KRISHNASWAMY P,NOWAK RM ,et al. Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure[J]. N Engl J Med ,2002,367:161.
-
3SHAPIRO BP, CHEN HH, BURNETr JC Jr,et al . Use of plasma brain natriuretic peptlde concentration to aid in the diagnosis of heart failure[ J]. Mayo Clin Proc ,2003,78:481.
-
4LATINI R,MASSON S,de ANGELIS N ,et al. Role of brain natriuretic peptide in the diagnosis and management of heart failure : current concepts[ J ]. J card Fail ,2002,8:288.
同被引文献6
-
1胡大一 杨振华.B型钠尿肽的临床应用和最新进展.中华心血管病杂志,2004,32(1):51-52.
-
2IRZMASKI R,BANACH M,PIECHOTA M,et al. N- terminal probrain natriuretic peptide and left ventricu- lar hypertrophy in hypertensive patients[J]. Clin Exp Hypertension, 2007,29 : 149-164.
-
3ZHAO S Q,HU Y M,LI X R,et al. The clinical, val- ue of rapid assay for N-terminal protein brain natriu- reic peptide in differentiating congestive heart failure from pulmonary causes of dyspnoea[J]. Int J Clin Pract, 2008,62 : 214 -- 220.
-
4DOWNIE P F,TALWAR S,SQUIRE I B, et al. As- sessment of the stability of N terminal proBNP in vitro: implications for assessment of left ventricular dysfunction[J]. Clin Sci, 2002,97 : 255-- 258.
-
5YOSHIHIKO S, TERUYO Y, et at. Application of NT-proBNP and BNP measurements in care: a more discerning marker for the detection and evaluation of heart faiIure[J]. European heart Fail, 2003,12 : 295 -- 300.
-
6MAISEL A S,KRISHNASWAMY P,NOWAK R M, et al. Rapid measurement of N-terminal protein brain natriureic peptide in the emergency diagnosis of heart failure[J]. Card Fail, 2002,6 : 123-- 126.
-
1周素贞,洪葵.心力衰竭性室性心律失常的发生机制[J].新医学,2011,42(4):269-271. 被引量:6
-
2刘训宏.78例心包疾病的临床分析[J].江苏医药,1997,23(3):179-180.
-
3杜文惠,路裕华.心力衰竭性心包积液22例临床分析[J].中国冶金工业医学杂志,1994,11(1):28-29.
-
4高艳玲,林宏扬,葛志明.心力衰竭性贫血的研究进展[J].中国老年学杂志,2004,24(11):1088-1090. 被引量:12
-
5袁绍伦.充血性心力衰竭性心包积液47例临床分析[J].临床荟萃,1998,13(14):639-640.
-
6张培法,王胜涛.慢性心力衰竭性贫血的研究进展[J].中国医学创新,2011,8(25):185-186. 被引量:3
-
7何如平,刘品明.充血性心力衰竭性贫血的研究进展[J].国际内科学杂志,2008,35(1):30-33. 被引量:2
-
8惠勇,唐忠仁.16例心包积液病因及误诊分析[J].中国中医药咨讯,2011,3(17):186-186.
-
9周永明,易欣,黎明江.心包积液的病因及误诊分析[J].临床和实验医学杂志,2012,11(19):1531-1532. 被引量:1
-
10徐成胜,吴勇波,何涛,王琼昕,周千星,曾和松.心包积液住院患者的病因分析(附384例报告)[J].临床心血管病杂志,2008,24(10):794-795. 被引量:16