每日一问:肌钙蛋白与心肌酶 201767
2021-08-02
问题描述:
相关疾病:肺癌Wednesday,June07,2017A58-y-oldwomanpresentstotheemergency......
*请输入10-500个字符
已帮助
0人
0人
husayn
用户
Incorrect.THE CORRECT ANSWER IS:The patient has not suffered an acute myocardial infarction and a sample mix-up has occurred.A sample mix-up occurred in the 2-h post-admission samples. An AMI is unlikely given these test results because increases in plasma cTnI and CK-MB occur concurrently and cTnI concentrations remain elevated for days following an AMI. A heterophile antibody would cause consistently abnormal results rather than sporadic elevations in some samples but not others. Consistently normal CK-MB results in conjunction with normal cTnI results at admission and 6 h post admission strongly suggest that the 2-h post-admission cTnI sample was a mislabeled specimen obtained from a different patient.Burtis CA, Ashwood ER, Bruns DE, eds. Tietz Fundamentals of Clinical Chemistry, 6th ed. St. Louis, MO: Saunders Elsevier, 2008:625.
已帮助
0人
0人
husayn
用户
我选的A。我认为(蒙)2小时升高是发生了小面积的梗死,所以6小时的时候又正常了。但答案说是标本搞混了!可这CK-MB也太巧了吧,两个病人的居然完全一样,这不科学。关键是我们不做肌钙蛋白,不知道1.6到底是怎样的一个水平。假设这是一个真实案例,临床医生一看到2小时的报告,再结合胸痛,岂不是立马就会诊断为AMI,进行治疗吗!?
已帮助
0人
0人
兰翠荣
用户
Whatareyoutalkingabout?
▍
相关分类
▍
相关文章
RayBiotech产品介绍_RayBiotech
第06篇强直性脊柱炎研究进展.ppt_
人抗单核细胞抗体(AMA)Elisa测试盒价格|Kit说明书安防展览网
pna探针_pna探针【价格,厂家,图片,批发,采购】_ ...
解密干细胞|探秘“生命银行”:零下196℃液氮封存“生命种子”
达沙替尼片不良反应是哪些?
多歧管冷冻干燥机(T型架)Truelab上海楚柏
Western blot中NC膜和PVDF膜的选择及其特点 实验方法 ...
ELISA KIT ELISA试剂盒 国产试剂盒 进口试剂盒 原研试剂盒 ...
APASL2019进展丨徐东平团队的研究成果加深了对乙型肝炎病毒特性的...
振德医疗公开发行可转换公司债券募集说明书_同花顺圈子
表面活性剂作用原理书籍手册 化工书籍
▍
相关问答