\u5434\u4ee5\u5cad\u6559\u6388\u8fdb\u884c\u201c\u8109\u7edc\u5b66\u8bf4\u6784\u5efa\u53ca\u5176\u6307\u5bfc\u8840\u7ba1\u75c5\u53d8\u9632\u6cbb\u7814\u7a76\u201d\u4e3b\u9898\u5b66\u672f\u8bb2\u5ea7<\/p>\n

 <\/p>\n

\u5728\u8109\u7edc\u5b66\u8bf4\u6307\u5bfc\u4e0b\uff0c\u63d0\u51fa\u6162\u6027\u5fc3\u8870\u201c\u7edc\u606f\u6210\u79ef\u201d\u7684\u75c5\u673a\u65b0\u6982\u5ff5\uff0c\u603b\u7ed3\u51fa\u201c\u6c14\u8840\u6c34\u540c\u6cbb\u5206\u6d88\u201d\u9063\u836f\u7ec4\u65b9\u89c4\u5f8b\u7814\u5236\u51fa\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\uff0c\u4e0a\u5e02\u540e\u518d\u8bc4\u4ef7\u5b9e\u9a8c\u4e0e\u4e34\u5e8a\u7814\u7a76\uff0c\u63ed\u793a\u5176\u836f\u6548\u673a\u5236\u53ca\u4e34\u5e8a\u7279\u8272\uff0c\u8bc1\u5b9e\u4e86\u4e2d\u533b\u7edc\u75c5\u7406\u8bba\u53ca\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u5728\u6162\u6027\u5fc3\u529b\u8870\u7aed\u9632\u6cbb\u4e2d\u7684\u4e34\u5e8a\u5e94\u7528\u4ef7\u503c\uff0c\u5f00\u8f9f\u4e86\u5fc3\u529b\u8870\u7aed\u6cbb\u7597\u7684\u65b0\u9014\u5f84\u3002<\/p>\n

\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u5b9e\u9a8c\u7814\u7a76\u56f4\u7ed5\u6162\u6027\u5fc3\u529b\u8870\u7aed\u53d1\u75c5\u673a\u5236\uff0c\u8fdb\u884c\u4e86\u7cfb\u7edf\u800c\u6df1\u5165\u7814\u7a76\uff0c\u63a2\u8ba8\u82aa\u82c8\u5f3a\u5fc3\u6cbb\u7597\u6162\u6027\u5fc3\u8870\u7684\u4f5c\u7528\u673a\u5236\u4e0e\u4f5c\u7528\u9776\u70b9\u3002\u5b9e\u9a8c\u8bc1\u5b9e\uff1a\u82aa\u82c8\u5f3a\u5fc3\u5f3a\u5fc3\u4f5c\u7528\u4e0e\u5730\u9ad8\u8f9b\u76f8\u5f53\uff0c\u65e0\u6d0b\u5730\u9ec4\u5bb9\u6613\u4e2d\u6bd2\u7684\u526f\u4f5c\u7528;\u5177\u6709\u663e\u8457\u7684\u5229\u5c3f\u4f5c\u7528\uff0c\u65e0\u901f\u5c3f\u5bb9\u6613\u5f15\u8d77\u5229\u5c3f\u5242\u62b5\u6297\u3001\u7535\u89e3\u8d28\u7d0a\u4e71\u53ca\u52a0\u91cd\u795e\u7ecf\u5185\u5206\u6ccc\u6fc0\u6d3b\u7684\u526f\u4f5c\u7528;\u964d\u4f4e\u8840\u7ba1\u7d27\u5f20\u7d20\u2161(Ang\u2161)\u6c34\u5e73\u5927\u5242\u91cf\u4f18\u4e8e\u96f7\u7c73\u666e\u5229\uff0c\u5c0f\u5242\u91cf\u7b49\u540c\u4e8e\u96f7\u7c73\u666e\u5229\uff0c\u540c\u65f6\u65e0\u8840\u7ba1\u7d27\u5f20\u7d20\u8f6c\u6362\u9176\u6291\u5236\u5242(ACEI)\u5e38\u89c1\u7684\u526f\u53cd\u5e94;\u964d\u4f4e\u8111\u94a0\u80bd(BNP)\u6c34\u5e73\u5927\u5242\u91cf\u4f18\u4e8e\u7f8e\u6258\u6d1b\u5c14\uff0c\u5c0f\u5242\u91cf\u7b49\u540c\u4e8e\u7f8e\u6258\u6d1b\u5c14\uff0c\u65e0\u00df\u53d7\u4f53\u963b\u6ede\u5242\u5e38\u89c1\u7684\u526f\u4f5c\u7528;\u6539\u5584\u5fc3\u808c\u7ec6\u80de\u80fd\u91cf\u4ee3\u8c22\uff0c\u51cf\u5c11\u5fc3\u808c\u7ec6\u80de\u51cb\u4ea1\u548c\u81ea\u566c\uff0c\u4fc3\u8fdb\u5fc3\u808c\u7ec6\u80de\u589e\u6b96\u5206\u88c2\u3002<\/p>\n

\u7531\u9ad8\u6da6\u9716\u9662\u58eb\u3001\u5f20\u4f2f\u793c\u9662\u58eb\u3001\u9ec4\u5cfb\u6559\u6388\u7b49\u7275\u5934\uff0c\u5357\u4eac\u533b\u79d1\u5927\u5b66\u7b2c\u4e00\u9644\u5c5e\u533b\u9662\u53ca\u4e2d\u56fd\u533b\u5b66\u79d1\u5b66\u9662\u961c\u5916\u5fc3\u8840\u7ba1\u75c5\u533b\u9662\u4e3a\u7ec4\u957f\u5355\u4f4d\uff0c\u4e2d\u534e\u533b\u5b66\u4f1a\u5fc3\u8840\u7ba1\u75c5\u5206\u4f1a\u5fc3\u8870\u5b66\u7ec4\u5171\u540c\u7ec4\u6210\u5b66\u672f\u59d4\u5458\u4f1a\uff0c\u8054\u5408\u56fd\u518523\u5bb6\u7efc\u5408\u4e09\u7532\u533b\u9662\u5bf9\u201c\u968f\u673a\u3001\u53cc\u76f2\u3001\u5b89\u6170\u5242\u5e73\u884c\u5bf9\u7167\u8bc4\u4ef7\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u6cbb\u7597\u6162\u6027\u5fc3\u8870\u60a3\u8005\u6709\u6548\u6027\u4e0e\u5b89\u5168\u6027\u7684\u591a\u4e2d\u5fc3\u4e34\u5e8a\u8bd5\u9a8c\u201d\u8868\u660e\uff0c\u4e0e\u5bf9\u7167\u7ec4\u76f8\u6bd4\uff0c\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u53ef\u663e\u8457\u964d\u4f4e\u6162\u6027\u5fc3\u8870\u60a3\u8005\u8840\u6e05N-\u672b\u7aef\u8111\u94a0\u80bd\u524d\u4f53(NT-proBNP)\u6c34\u5e73\uff0c\u589e\u52a0\u60a3\u80056 min\u6b65\u884c\u8ddd\u79bb\uff0c\u6539\u5584\u60a3\u8005\u75c7\u72b6\u548c\u751f\u6d3b\u8d28\u91cf\u548c\u63d0\u9ad8\u60a3\u8005\u5de6\u5ba4\u5c04\u8840\u5206\u6570(LVEF)\uff0c\u964d\u4f4e\u590d\u5408\u7ec8\u70b9\u4e8b\u4ef6\u53d1\u751f\u7387\u3002\u8be5\u7814\u7a76\u7ed3\u679c\u53d1\u8868\u5728\u56fd\u9645\u5fc3\u8840\u7ba1\u9886\u57df\u6700\u5177\u5f71\u54cd\u529b\u7684\u6742\u5fd7\u300a\u7f8e\u56fd\u5fc3\u810f\u75c5\u5b66\u4f1a\u6742\u5fd7\u300b(\u7b80\u79f0JACC)\uff0cIF=17.759\uff0c\u5f97\u5230\u56fd\u9645\u8ba4\u53ef\u5e76\u5f15\u8d77\u56fd\u5185\u5916\u533b\u5b66\u754c\u7684\u5e7f\u6cdb\u5173\u6ce8\u3002<\/p>\n

\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u662f\u300a\u4e2d\u56fd\u5fc3\u529b\u8870\u7aed\u8bca\u65ad\u4e0e\u6cbb\u7597\u6307\u53572014\u300b\u9996\u6b21\u552f\u4e00\u63a8\u8350\u7684\u590d\u65b9\u4e2d\u836f\uff0c\u6307\u5357\u6307\u51fa\uff1a\u4e00\u9879\u4ee5\u751f\u7269\u6807\u5fd7\u7269\u4e3a\u4e3a\u66ff\u4ee3\u7ec8\u70b9\u7684\u591a\u4e2d\u5fc3\u3001\u968f\u673a\u3001\u5b89\u6170\u5242\u5bf9\u7167\u7684\u7814\u7a76\u8868\u660e\u5728\u6807\u51c6\u548c\u4f18\u5316\u6297\u5fc3\u8870\u6cbb\u7597\u57fa\u7840\u4e0a\u8054\u5408\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\uff0c\u663e\u8457\u964d\u4f4eNT-proBNP\u6c34\u5e73\uff0c\u6539\u5584\u9884\u540e\uff0c\u663e\u8457\u63d0\u9ad8\u4e34\u5e8a\u7597\u6548\u3002<\/p>\n

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\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u5165\u9009\u4e2d\u56fd\u5fc3\u529b\u8870\u7aed\u8bca\u65ad\u548c\u6cbb\u7597\u6307\u5357<\/p>\n

 <\/p>\n

\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u5f00\u5c55\u7684\u57fa\u7840\u4e0e\u4e34\u5e8a\u7814\u7a76\u5f97\u5230\u4e86\u56fd\u5185\u4f17\u591a\u4e13\u5bb6\u7684\u5e7f\u6cdb\u5173\u6ce8\uff0c\u572822\u65e5\u4f1a\u8bae\u4e3e\u529e\u7684\u5b66\u672f\u8bba\u575b\u4e2d\uff1a<\/p>\n

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\u4e2d\u534e\u533b\u5b66\u4f1a\u5fc3\u8840\u7ba1\u75c5\u5b66\u5206\u4f1a\u524d\u4efb\u4e3b\u59d4\u970d\u52c7\u6559\u6388\u5728\u201c\u4e2d\u56fd\u5fc3\u8840\u7ba1\u73b0\u72b6\u4e0e\u6cbb\u7597\u5bf9\u7b56\u201d\u62a5\u544a\u4e2d\u6307\u51fa\uff1a\u8ba4\u4e3a\u5bf9\u4e8e\u4e2d\u56fd\u6765\u8bb2\uff0c\u4e2d\u533b\u836f\u5728\u5fc3\u529b\u8870\u7aed\u7684\u6cbb\u7597\u4e2d\u62e5\u6709\u81ea\u5df1\u7684\u4f18\u52bf\uff0c\u4e2d\u836f\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u62e5\u6709\u5faa\u8bc1\u533b\u5b66\u7814\u7a76\u8bc1\u636e\uff0c\u88ab\u8bc1\u660e\u80fd\u5e26\u6765\u989d\u5916\u7684\u5fc3\u529f\u80fd\u6539\u5584\uff0c\u4e3a\u6b64\u88ab\u6536\u5f55\u5165\u300a\u4e2d\u56fd\u5fc3\u8870\u9632\u6cbb\u73b0\u72b6\u84dd\u76ae\u4e662015\u300b\u3002<\/p>\n

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\u4e2d\u534e\u5fc3\u8840\u7ba1\u75c5\u5b66\u5206\u4f1a\u5fc3\u8870\u5b66\u7ec4\u524d\u4efb\u526f\u7ec4\u957f\u9a6c\u7231\u7fa4\u6559\u6388\u5728\u201c\u4e2d\u533b\u4e0e\u6162\u6027\u5fc3\u529b\u8870\u7aed\u6cbb\u7597\u6548\u679c\u8bc4\u4ef7\u201d\u62a5\u544a\u4e2d\u6307\u51fa\uff1a\u5728\u7597\u6548\u8bc4\u4ef7\u4e2d\u501f\u52a9\u5168\u4e16\u754c\u516c\u8ba4\u7684\u5faa\u8bc1\u533b\u5b66\u8bc4\u4ef7\u65b9\u6cd5\uff0c\u662f\u6211\u56fd\u4e2d\u533b\u836f\u56fd\u9645\u5316\u7684\u5fc5\u7ecf\u4e4b\u8def\u3002\u7531\u9ad8\u6da6\u9716\u9662\u58eb\u3001\u5f20\u4f2f\u793c\u9662\u58eb\u3001\u9ec4\u5cfb\u6559\u6388\u3001\u9a6c\u7231\u7fa4\u6559\u6388\u3001\u5434\u5b97\u8d35\u6559\u6388\u3001\u97e9\u96c5\u73b2\u9662\u58eb\u3001\u674e\u65b0\u7acb\u6559\u6388\u3001\u5f20\u5065\u6559\u6388\u7b49\u4e13\u5bb6\u56e2\u961f\u53c2\u4e0e\u7684\u201c\u968f\u673a\u3001\u53cc\u76f2\u3001\u5b89\u6170\u5242\u5e73\u884c\u5bf9\u7167\u8bc4\u4ef7\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u6cbb\u7597\u6162\u6027\u5fc3\u8870\u6709\u6548\u6027\u4e0e\u5b89\u5168\u6027\u7684\u591a\u4e2d\u5fc3\u4e34\u5e8a\u8bd5\u9a8c\u201d \u7ed3\u679c\u8868\u660e\uff1a\u76f8\u5bf9\u5b89\u6170\u5242\uff0c\u82aa\u82c8\u5f3a\u5fc3\u80f6\u56ca\u80fd\u660e\u663e\u964d\u4f4e\u5fc3\u8870\u60a3\u8005\u8840\u6d46NT-ProBNP\u6c34\u5e73\u3001\u63d0\u9ad86min\u6b65\u884c\u8ddd\u79bb\u3001\u660e\u663e\u6539\u5584\u75c7\u72b6\u3001\u63d0\u9ad8\u5c04\u8840\u5206\u6570\u3002\u56e0\u6b64\uff0c\u672a\u6765\u4e2d\u533b\u836f\u7684\u53d1\u5c55\u5fc5\u987b\u57fa\u4e8e\u7fa4\u4f53\u4e34\u5e8a\u7814\u7a76\u7684\u5faa\u8bc1\u533b\u5b66\u8bc1\u636e\u53ca\u4e2a\u4f53\u57fa\u56e0\u7684\u7cbe\u51c6\u533b\u7597\uff0c\u5b9e\u73b0\u7cbe\u51c6\u533b\u7597\u4e0e\u5faa\u8bc1\u533b\u5b66\u7684\u878d\u5408\u3002<\/p>\n

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