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目的:观察急性左心衰竭患者血清肌钙蛋白I(cTnI)水平与其预后的关系。方法:检测102例急性左心衰患者发病时血清cTnI水平,观察1周内患者转归,分析不同病因的急性左心衰竭患者血清cTnI水平。结果:阳性者64例,阴性者38例,阳性者1周内死亡7例,阴性者无死亡,二者死亡例数比较,差异有统计学意义(P<0.05)。不同病因急性左心衰竭患者血清cTnI水平比较,无统计学意义(P>0.05)。结论:急性左心衰竭患者血清cTnI阳性者死亡明显高于血清cTnI阴性者。不同病因急性左心衰竭患者的血清cTnI水平差异无统计学意义。
Objective: To observe the relationship between serum cTnI level and its prognosis in patients with acute left heart failure. Methods: Serum cTnI levels were measured in 102 patients with acute left heart failure. The patients were followed up within 1 week. The levels of serum cTnI in patients with acute left heart failure of different etiologies were analyzed. Results: 64 cases were positive, 38 cases were negative, and 7 cases were positive within 1 week. There was no death in the negative group, the difference between the two cases was statistically significant (P <0.05). Serum cTnI levels in patients with different causes of acute left heart failure were not statistically significant (P> 0.05). Conclusion: The death of serum cTnI positive patients with acute left heart failure was significantly higher than that of serum cTnI negative patients. Serum cTnI levels in patients with different causes of acute left heart failure showed no significant difference.