肌酸激酶及其同工酶肌红蛋白等在电烧伤患者中的应用.PDF

·48l· 文章编号：1673-8640(2008)05-0481-03中图分类号：R446．1 文献标识码：A 肌酸激酶及其同工酶、肌红蛋白等在电烧伤患者中的应用 王晓蓉 (上海电力医院检验科，上海200050) 讨论CK、CK-MB、HBDH水平及Myo阳性率的增高可能是触电导致肌肉损伤引起的，与心脏损伤不一定有关。 cTnl可用于判定电烧伤患者是否出现心脏损害。 关键词：肌酸激酶；肌酸激酶同工酶；肌红蛋白；d·羟丁酸脱氢酶；肌钙蛋白I；电击伤；电弧伤 The ofthedeterminationofcreatinekinaseandits etc．inelectro-burned application isoenzyme。myoglobin WANG Clinical Power patients Xiaorong(Departmentof hzboratory，Shanghai 200050，China) Hospital，Shanghai To the ofthelevelsofcreatine kinaae Abst髓d：Objectiveinvestigatesignificance kinase(CK)，creatine the rateofcardiac I(cT· isoemymeMB(CK-MB)，Ot—hydroxybutyratedehydrogenase(HBDH)，andpositive troponin electro-bumed Thelevelsof andthe rateof nI)，myoglobin(Myo)inpatients．MethodsCK，CK-MB，HBDHpositive shock and arc inelectro—burned electric theelectric determinedand cTnI，Myo patients(the damage damage)were withacute and contr01．ResultsThelevelsof coronary CK，CK—MB， compared syndrome(ACS)patientshealthy HBDHandthe rateofcTnIand inelectro·burnedwere thanthosein positive higher healthycontrols(P Myo patients levelsof and the rateof were thanthosein CK CK—MBand ACS 0．05)．The positive Myo higher patients(P0．0