血细胞激酶及C反应蛋白的检测在急性心肌梗死中的诊断价值
摘要
目的探讨血细胞计数、肌酸激酶(CK)、C反应蛋白(CRP)水平在急性心肌梗死(AMI)患者诊断中的价值。方法选取42例确诊AMI患者为一组,42例健康者为对照组,分别检测两组人群的血细胞、CK、C反应蛋白含量。结果 AMI患者组白细胞、单核细胞和中性粒细胞计数明显高于健康对照组,AMI患者组的红细胞计数明显低于健康对照组,差异具有统计学意义(P<0.05),而淋巴细胞、嗜酸性粒细胞、嗜碱性粒细胞和血小板计数在AMI患者和对照组之间没有显著差异。AMI患者的CK和C反应蛋白高出对照组。结论白细胞计数与肌酸激酶(CK)、C反应蛋白(CRP)水平的检测对早期AMI患者的具有临床意义。
引文
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[6] Maugeri N, Manfredi AA, Maseri A. Clinical and experimental evidences on the prothrombotic properties of neutrophils[J]. Srp Arh Celok Lek. 2010. 138 Suppl 1: 50-2.
[7] Horne BD, Anderson JL, John JM, et al. Which white blood cell subtypes predict increased cardiovascular risk[J]. J Am Coll Cardiol. 2005. 45(10): 1638-43.
[2] 孙云飞,王岚峰.急性心肌梗死与白细胞血小板的关系[J].血栓与止血学. 2014,20(03): 144-146.
[3] Dragu R, Khoury S, Huri S, et al. Predictive value of white blood cell subtypes for long-term outcome following myocardial infarction[J]. Atherosclerosis. 2008. 196(1): 405-12.
[4] Kosuge M, Kimura K, Ishikawa T, et al. Relation between white blood cell counts and myocardial reperfusion in patients with recanalized anterior acute myocardial infarction[J]. Circ J. 2004. 68(6): 526-31.
[5] Chia S, Nagurney JT, Brown DF, et al. Association of leukocyte and neutrophil counts with infarct size, left ventricular function and outcomes after percutaneous coronary intervention for ST-elevation myocardial infarction[J]. Am J Cardiol. 2009. 103(3): 333-7.
[6] Maugeri N, Manfredi AA, Maseri A. Clinical and experimental evidences on the prothrombotic properties of neutrophils[J]. Srp Arh Celok Lek. 2010. 138 Suppl 1: 50-2.
[7] Horne BD, Anderson JL, John JM, et al. Which white blood cell subtypes predict increased cardiovascular risk[J]. J Am Coll Cardiol. 2005. 45(10): 1638-43.