国际麻醉学与复苏杂志   2023, Issue (1): 0-0
    
非心脏手术后心肌损伤早期监测标志物研究进展
朱宇彤, 嵇富海1()
1.苏州大学第一附属医院
Research advances in early monitoring of blood markers of perioperative myocardial injury
 全文:
摘要:

非心脏手术后心肌损伤(myocardial injury after non‑cardiac surgery, MINS)是非心脏手术后患者死亡的主要原因,与患者的术后心血管并发症和预后密切相关,早期对MINS进行监测和诊断具有极其重要的临床意义。文章介绍了MINS的定义、危害、诊断依据以及现有的监测手段,从心肌损伤标志物的角度指出目前常用监测MINS的标志物的局限性,并对近年来新型心肌损伤标志物的研究进展进行综述,说明其检测的可行性。对于MINS的预警分层、围手术期监测以及预后判断,不同心肌损伤标志物之间的组合或许能为早期监测MINS提供新的思路和参考。新型心肌损伤标志物用于早期监测MINS的发生,将为减少非心脏手术后心血管并发症和病死率提供更多的指导价值。

关键词: 非心脏手术后心肌损伤; 心肌梗死; 标志物
Abstract:

Myocardial injury after non‑cardiac surgery (MINS) is the leading cause of death in patients after non‑cardiac surgery, which is closely related to postoperative cardiovascular complications and prognosis. Early monitoring and diagnosis of MIMS are of great clinical significance. This review introduces the definition, hazards, diagnostic basis, and existing monitoring methods of MINS. From the perspective of blood markers, the limitations of blood markers commonly used to monitor MINS are pointed out. The review summarizes the progress of novel blood markers of myocardial injury in recent years and illustrates the feasibility of their detection. For the early warning stratification, perioperative monitoring, and prognosis judgment of MINS, the combination of different blood markers may provide new ideas and references for the early monitoring of MINS. Novel blood markers for early monitoring of the occurrence of MIMS will offer more guidance value for reducing cardiovascular complications and mortality after non‑cardiac surgery.

Key words: Myocardial injury after non‑cardiac surgery; Myocardial infarction; Markers