摘要
Abstract
Objective To discuss the comprehensive methods of diagnosis and evaluation for identifying character-istics of acute chest pain. Methods A total of 127 patients with acute chest pain admitted during April 2014 and April 2015 were divided into cardiogenic chest pain group(n = 69)and non-cardiogenic chest pain group(n = 58)according to the causes of chest pain. Clinical data and values of routine blood examination,blood clotting,liver and kidney functions, arterial blood gas analysis,myocardial necrosis markers and N-terminal B-type natriuretic peptide( NT-proBNP)levels were compared in the two groups. Results Compared with those in non-cardiogenic chest pain group,patients in cardio-genic chest pain group had an older age,a higher proportion of male patients,a faster heart rate and a lower level of blood pressure,and the differences were statistically significant( P ﹤ 0. 01);peak values of MB isoenzyme of creatine kinase (CK-MB),troponin I(cTnI),myoglobin(Myo),high-sensitivity C-reactive protein(hs-CRP)and N-terminal brain na-triuretic peptide(NT-proBNP)were significantly higher in cardiogenic chest pain group(P ﹤ 0. 01). Conclusion Com-bined detection of indexes such as CK-MB,cTnI,Myo,hs-CRP and NT-proBNP on the basis of interrogation,physical ex-amination and medical examination have clinical value in early and quick identification of acute chest pain.关键词
胸痛/急症/肌酸激酶同工酶/肌钙蛋白I/肌红蛋白/超敏C反应蛋白/N末端B型钠尿肽原Key words
Chest pain/Emergencies/Creatine kinase isoenzyme/Troponin I/Myoglobin/High-sensitivity c-reactive protein/N-terminal brain natriuretic peptide分类
医药卫生
