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血栓前体蛋白检测对急性冠脉综合征的预测价值 被引量:5

The prediagnostic value of TpP in Acute Coronary Syndrome
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摘要 目的 探讨血栓前体蛋白 (thrombusprecursorprotein ,TpP)在急性冠脉综合征的预测价值。方法 分别在健康人组 ,不稳定心绞痛组 (UA)、急性心肌梗死组 (AMI)和其他胸痛病人组 ,于发病 6小时内检测TpP、磷酸肌酸激酶同工酶MB(CK -MB)、肌钙蛋白I(cTnI) ,肌红蛋白 (Myo)。结果 AMI组TpP明显升高 ,与健康对照组 ,UA组和其他胸痛病人组比较有显著性差异 ,TpP在胸痛组 ,UA组和AMI组的阳性检出率分别为 37 5 % ,30 %和 92 3% ;而心肌损伤标志物在四组之间比较差异无显著性。另外 ,AMI组TpP灵敏度与CK -MB、cTnI、Myo的差异比 (OR值 )分别为 6、4、4。结论 TpP与常规心肌损伤标志物比较 ,对AMI更具早期预测价值。 Objective The change of TpP in Acute Coronary Syndrome.Methods Objects examined were composed of 4 groups:healthy controls,unstable angina,MyocardiaI Infarction,other chest pain,TpP,CK MB,cTnI,Myo of them are tested within 6 hours of onset respectively and the results were done with statistic analysis.Results TpP increased significantly in AMI as compared to the other three groups.The positive rates of TpP in other chest pain,UA,AMI are 37.5%,30%,92.3%,respectively,And in the group of AMI,the odds ratio(OR)of TpP compared with CK MB,cTnI,Myo are 6,4,4.Conclusion TpP is a good index in the carly prediagnose of Acute Coronary Syndrome.
出处 《中国实验诊断学》 2003年第1期14-15,共2页 Chinese Journal of Laboratory Diagnosis
关键词 急性冠脉综合征 血栓前体蛋白检测 不稳定心绞痛 急性心肌梗死 磷酸肌酸激酶同工酶MB 肌钙蛋白Ⅰ 肌红蛋白 thrombus precursor protein unstable angina acute myocardial infarction creatine kinase MB troponin myoglobin
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参考文献5

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同被引文献21

  • 1王红.测定急性冠状动脉综合征患者血栓前体蛋白的临床意义[J].临床荟萃,2005,20(7):387-388. 被引量:6
  • 2张红松,李培杰,陈天铎,杨兰,董晨明.血栓前体蛋白测定在严重脓毒症中的临床意义[J].中国危重病急救医学,2005,17(4):214-216. 被引量:3
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  • 4张广森.vWF、vWF裂解酶与血栓性血小板减少性紫癜[A]..中华医学会血液学学会第九届全国血栓与止血学术会议论文摘要汇编[C].,2002.15-18.
  • 5阮长耿.血小板与血栓性疾病[J].中华医学杂志,2003,83:1-3.
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