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[院前阶段通过血液密度诊断心肌梗死的信息价值]

[The information value of diagnosing myocardial infarct by blood density at the prehospital stage].

作者信息

Pavlenko V S, Rozenshteĭn Iu B, Eremeev V V, Vasil'tseva Ia S, Mosin L M, Murzabekov I A, Urinbaev I Z

出版信息

Klin Med (Mosk). 1992 Jan;70(1):43-5.

PMID:1608209
Abstract

Basing on the clinical evidence, a comparative study was made of a diagnostic significance of ECG, biochemical findings and blood density in myocardial infarction. Unlike the former two criteria, changes in blood density allowed the clinicians to detect irreversible lesions in the myocardium. The method has advantages in prehospital diagnosis of the infarction as its efficacy at the very onset of the disease is superior to that of ECG. In view of blood density diagnosis of myocardial infarction convenience for practical use, reproducibility, ability to provide information when routine modalities fail to determine the ischemic myocardial lesion, it can be introduced as an adjuvant diagnostic means for cardiologic and common emergency teams.

摘要

基于临床证据,对心电图、生化检查结果和血液密度在心肌梗死诊断中的意义进行了比较研究。与前两个标准不同,血液密度的变化使临床医生能够检测到心肌的不可逆损伤。该方法在院前心肌梗死诊断中具有优势,因为其在疾病发作之初的诊断效能优于心电图。鉴于血液密度诊断心肌梗死具有实际应用方便、可重复性强、在常规检查无法确定缺血性心肌病变时能提供信息等特点,可将其作为心脏病学和普通急救团队的辅助诊断手段引入。

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