实用医学杂志Issue(9)：1424-1426,3.DOI:10.3969/j.issn.1006-5725.2014.09.025
肌钙蛋白-I、B型利钠肽、血乳酸对脓毒症心功能障碍患者严重程度及预后评估的价值
The value of cardiac troponin-I, B-type natriuretic peptide and blood lactic acid on evaluation of severity and prognosis in patients with septic myocardial dysfunction
张振辉 1陶丽丽 1陈伟燕 1江子欣 1刘卫江1
作者信息
- 1. 510260 广州医科大学附属第二医院重症医学科
- 折叠
摘要
Abstract
Objective To explore the value of cardiac troponin-I (cTnI), B-type natriuretic peptide (BNP) and blood lactic acid (Lac) on evaluation of severity and prognosis in patients with septic myocardial dysfunction (SMD). Methods According to retrospective analysis of clinical data,161 cases with sepsis were divided in to SMD group and non-SMD group. And the SMD group was further divided in to death group and survival group. Blood cTnI, BNP and Lac value in each group were detected respectively. The ROC curve was used to evaluate the forecast value of cTnI, BNP and Lac on prognosis for patients. Results The value of cTnI, BNP and Lac in SMD group were significantly higher than those in non-SMD group(P<0.05);The value of cTnI, BNP and Lac in death group among the SMD patients were significantly higher than those in survival group(P<0.05);cTnI, BNP and Lac contribute to predict the 28 day mortality rate of SMD. Conclusions Blood cTnI, BNP and Lac contributes to the assessment of the severity and the prognosis of septic patients with myocardial dysfunction.关键词
脓毒症/心功能障碍/肌钙蛋白-I/B型利钠肽/血乳酸Key words
Sepsis/Myocardial dysfunction/cTnI/BNP/Lac引用本文复制引用
张振辉,陶丽丽,陈伟燕,江子欣,刘卫江..肌钙蛋白-I、B型利钠肽、血乳酸对脓毒症心功能障碍患者严重程度及预后评估的价值[J].实用医学杂志,2014,(9):1424-1426,3.
