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降低風險 · EASY · MCQ

護理師照護心肌梗塞病人,應監測何種實驗室檢驗數據以評估心肌損傷程度?

A nurse is caring for a client who has experienced a myocardial infarction. Which lab result should the nurse monitor to evaluate for cardiac muscle damage?

  • AWBC count
    白血球計數
  • BTroponin T and I✓ 正解
    Troponin T 和 I
  • CCreatinine
    肌酸酐
  • DHemoglobin
    血紅素
Explanation · 中文詳解

肌鈣蛋白(Troponin)是診斷心肌梗塞(Myocardial Infarction)最具專一性的生物標記(Biomarker)。當心肌細胞受損或壞死時,這些蛋白質會釋放到血液中,且在心肌梗塞後數小時內即可檢測到,並持續升高數天。相較於其他檢驗數據,Troponin 對心肌損傷的敏感度與專一性最高,是目前臨床評估心肌損傷的黃金標準。

Troponin is the most specific biomarker for diagnosing myocardial infarction. When myocardial cells are injured or undergo necrosis, these proteins are released into the bloodstream and can be detected within hours of a myocardial infarction, remaining elevated for several days. Compared with other laboratory values, troponin has the highest sensitivity and specificity for myocardial injury and is currently the clinical gold standard for evaluating myocardial damage.

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