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目的:分析血清肌钙蛋白在上消化道出血中的临床诊断价值,以提高患者临床诊断效果。方法:选取某院2012年5月至2014年7月收治的100例上消化道出血患者为研究对象(研究组),另选同期50例体检者为对照组,比较两组实验者血清肌钙蛋白含量差异。结果:研究组上消化道出血患者中血清肌钙蛋白含量<1.0mg/L者14例(14%)、1.0~1.5mg/L者68例(68%)、>1.5mg/L者18例(18%),与对照组42例(84%)、8例(16%)、0(0)相比较,差异显著,比对结果具有统计学意义(P<0.05)。结论:血清肌钙蛋白含量随着上消化道出血患者出血量的增加而升高,能够较为准确的反映患者出血情况,具有较高的临床应用价值,值得在临床诊断中推广使用。
Objective: To analyze the value of serum troponin in the clinical diagnosis of upper gastrointestinal bleeding in order to improve the clinical diagnosis of patients. Methods: A total of 100 patients with upper gastrointestinal bleeding admitted to our hospital from May 2012 to July 2014 were selected as study group (study group). Another 50 subjects were selected as control group during the same period. Serum calcium Protein content differences. Results: In study group, 14 patients (14%) had serum troponin contents <1.0mg / L, 68 patients (68%) had 1.0 ~ 1.5mg / L and 18 patients (18%) compared with 42 cases (84%), 8 cases (16%) and 0 (0) in control group, the difference was statistically significant (P <0.05). Conclusion: Serum troponin levels increased with the increase of hemorrhage in patients with upper gastrointestinal bleeding, which can reflect the bleeding of patients more accurately and has higher clinical value. It is worth to be used in clinical diagnosis.