血常规和凝血检测在急性心肌梗死转归中的临床意义(1)
【摘要】目的：分析探讨血常规及凝血检测在急性心肌梗死转归期中的临床應用价值。方法：将2016年1月至2017年12月我院114例确诊为急性心肌梗死并出院的病患作为研究对象，将其中心肌梗死溶栓治疗(TIMI)危险评分≤4分的病患作为对照组，余下TIMI评分大于4分的病患作为观察组，分析比较两组病患的血常规及凝血检测结果。结果：血常规检测中，观察组病患的血小板计数为(2193±273)*109/L，显著高于对照组的(1689±249)*109/L，且数据差异显著，具有统计学意义(P<005)；生化指标中，观察组肌钙蛋白T水平为(0031±0009)ng/ml，和对照组的(0014±0004)ng/ml相比显著较高，且数据差异显著具有统计学意义(P<005)；在凝血参数上，观察组病患在抗凝血酶Ⅲ、凝血时间分别为(821±31)%、(14±02)min，和对照组的(983±32)%、(19±03)min相比均有显著差异(P<005)。结论：为急性心肌梗死转归期中的病患进行血常规和凝血检测对判断病患预后有一定的临床诊断意义，具有临床推广应用价值。
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【关键词】血常规；凝血检测；急性心肌梗死；转归期；临床诊断价值
【中图分类号】R3542
【文献标志码】B
【文章编号】1005-0019(2018)07-033-01
Abstract Objective：To analyze the clinical application value of blood routine and coagulation test in the return of acute myocardial infarction.Methods： From January 2016 to December 2017， 114 patients diagnosed with acute myocardial infarction and discharged from our hospital were included in the study. Patients with myocardial infarction thrombolytic therapy (TIMI) risk score ≤4 were used as controls. The patients with the remaining TIMI score greater than 4 were considered as the observation group. The blood routine and coagulation test results were analyzed and compared between the two groups.Results： In the routine blood test， the platelet count in the observation group was (2193±273)*109/L， which was significantly higher than that of the control group (1689±249)*109/L， and the difference was statistically significant. (P<005)； Among the biochemical indicators， the troponin T level in the observation group was (0031±0009) ng/ml， which was significantly higher than that in the control group (0014±0004) ng/ml， and the data was significantly different. Statistical significance (P<005)； In coagulation parameters， the patients in the observation group had antithrombin III and clotting time of (821±31)%， (14±02) min， respectively， and There were significant differences (983±32)%， and (19±03) min in the control group (P<005). Conclusion： Routine blood and coagulation tests for the patients with acute myocardial infarction in transition period have certain clinical diagnostic significance in judging the prognosis of patients， and have clinical application value.
Key words： Blood routine； Coagulation test； Acute myocardial infarction； Metaphase； Clinical diagnostic value
前言
急性心肌梗死(AMI)是一种由于冠状动脉出现急性缺氧、缺血导致的心肌坏死疾病，是造成人类死亡的一种常见疾病。而目前尚缺乏对急性心肌梗死转归期病患进行监控的有效诊断手段。本研究以2016年1月至2017年12月我院114例确诊为急性心肌梗死并出院的病患作为研究对象，来分析探讨血常规及凝血检测在急性心肌梗死转归期中的临床应用价值，现具体报告如下。, 百拇医药(余秀英)
, http://www.100md.com
【关键词】血常规；凝血检测；急性心肌梗死；转归期；临床诊断价值
【中图分类号】R3542
【文献标志码】B
【文章编号】1005-0019(2018)07-033-01
Abstract Objective：To analyze the clinical application value of blood routine and coagulation test in the return of acute myocardial infarction.Methods： From January 2016 to December 2017， 114 patients diagnosed with acute myocardial infarction and discharged from our hospital were included in the study. Patients with myocardial infarction thrombolytic therapy (TIMI) risk score ≤4 were used as controls. The patients with the remaining TIMI score greater than 4 were considered as the observation group. The blood routine and coagulation test results were analyzed and compared between the two groups.Results： In the routine blood test， the platelet count in the observation group was (2193±273)*109/L， which was significantly higher than that of the control group (1689±249)*109/L， and the difference was statistically significant. (P<005)； Among the biochemical indicators， the troponin T level in the observation group was (0031±0009) ng/ml， which was significantly higher than that in the control group (0014±0004) ng/ml， and the data was significantly different. Statistical significance (P<005)； In coagulation parameters， the patients in the observation group had antithrombin III and clotting time of (821±31)%， (14±02) min， respectively， and There were significant differences (983±32)%， and (19±03) min in the control group (P<005). Conclusion： Routine blood and coagulation tests for the patients with acute myocardial infarction in transition period have certain clinical diagnostic significance in judging the prognosis of patients， and have clinical application value.
Key words： Blood routine； Coagulation test； Acute myocardial infarction； Metaphase； Clinical diagnostic value
前言
急性心肌梗死(AMI)是一种由于冠状动脉出现急性缺氧、缺血导致的心肌坏死疾病，是造成人类死亡的一种常见疾病。而目前尚缺乏对急性心肌梗死转归期病患进行监控的有效诊断手段。本研究以2016年1月至2017年12月我院114例确诊为急性心肌梗死并出院的病患作为研究对象，来分析探讨血常规及凝血检测在急性心肌梗死转归期中的临床应用价值，现具体报告如下。, 百拇医药(余秀英)
参见：首页 > 医疗版 > 疾病专题 > 心血管科 > 冠状动脉病 > 心肌梗塞