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目的:研究昆明地区儿童血浆脑利钠肽(BNP)水平的变化在充血性心力衰竭的诊断、治疗、预后判断方面的临床价值.方法:收集我院2011年4月~2014年3月之间入院的昆明地区的充血性心力衰竭患儿100例,于入院时和治疗1周后检测血浆中的BNP水平,并与对照组比较.结果:心衰组入院时BNP最低326Pg/mL,最高8283 Pg/mL,平均值2829.78±132.71Pg/m L,治疗1周后复查,心衰组56例B N P降至正常,平均值345.34±29.37P g/m L.结论:心功能越差的患儿B N P数值越高,心衰控制不好的病例,BNP持续高,在昆明地区检测血浆BNP和沿海地区医院相比,同样可为心力衰竭在诊断、危险分级、临床治疗、预后评估方面提供良好的病理生理学依据.“,”Objective To study the clinical value of BNP in the Kunming region in congestive heart failure.Methods to collect 100 cases of congestive heart failure in our hospital from April 2011 to March in Kunming area, cases of congestive heart failure were compared. Results the lowest 326Pg / BNP, the highest 8283 Pg / mL, the average value of 2829.78±132.71Pg / mL, 1 weeks after treatment, 56 cases of heart failure group were decreased to normal, the average value of 345.34 ± 29.37 Pg / mL.Conclusion the diagnosis, risk classification, clinical treatment and prognosis of heart failure may provide a good basis for the diagnosis of heart failure.