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经尿道前列腺切除术后的“心肌”酶

'Cardiac' enzymes after transurethral resection of the prostate.

作者信息

Ström S

出版信息

Scand J Urol Nephrol. 1984;18(4):289-92. doi: 10.3109/00365598409180198.

DOI:10.3109/00365598409180198
PMID:6209795
Abstract

Postoperative serial determinations of serum total creatine kinase (CK) and the CK-B subunit (by immunoinhibition), and of total lactate dehydrogenase (LD) and isoenzyme LD-1 (by immunoprecipitation), were performed in 16 and 9 patients, respectively, after uncomplicated transurethral resection of the prostate (TURP). Total CK remained unchanged. An early, modest increase in serum CK-B activity, accompanied by an unusually high CK-B/total CK relation, correlated significantly with duration of operation and amount of tissue resected. A slight, early elevation of the total LD level was not accompanied by an increase in LD-1. If the possibility of small increases in CK-B and LD from the prostate is taken into consideration, routine criteria for diagnosing myocardial damage may be applied after TURP.

摘要

分别对16例和9例患者在进行无并发症的经尿道前列腺切除术(TURP)后,进行了血清总肌酸激酶(CK)和CK - B亚基(通过免疫抑制法)以及总乳酸脱氢酶(LD)和同工酶LD - 1(通过免疫沉淀法)的术后系列测定。总CK保持不变。血清CK - B活性早期有适度升高,同时伴有异常高的CK - B/总CK比值,这与手术时间和切除组织量显著相关。总LD水平早期有轻微升高,但LD - 1未增加。如果考虑到前列腺中CK - B和LD可能有小幅升高的情况,那么TURP术后可应用诊断心肌损伤的常规标准。

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