BNP或NT-proBNP升高一定是心衰吗？
<h2 style="font-weight: bold;white-space: normal;line-height: 1.6em;"><br/></h2><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="30303"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:flex-start;"><section><section style="width: 40px;height: 1px;background-color: #ff0000;overflow: hidden;"><br/></section><section style="margin-left: 6px;margin-top: -6px;width: 1px;height: 40px;background-color: #ff0000;overflow: hidden;"><br/></section></section><section><section style="width: 40px;height: 1px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section><section style="margin-right: 6px;margin-top: -6px;width: 1px;height: 40px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section></section></section><section style="margin:-30px 12px;"><section style="background-color: rgb(255, 242, 242);padding: 13px;box-sizing: border-box;"><section style="color: #309d8e;font-size: 15px;letter-spacing: 2px;line-height: 1.75em;"><p style="line-height: 2.5em;"><span style="font-size: 16px;color: #000000;"> 心衰是导致利钠肽升高的最常见原因，国内外的心衰指南一致推荐BNP和NT-proBNP测定用于心衰筛查、诊断和鉴别诊断、病情严重程度及预后评估，在临床实践中，绝大多数患者的心衰程度与该指标是呈正相关的，其水平与心衰严重程度相关，两者水平越高，心衰越严重。</span></p></section></section></section><span style="color: #000000;"></span><section style="display: flex;justify-content:space-between;align-items:flex-start;"><section><section style="margin-left: 6px;margin-bottom: -6px;width: 1px;height: 40px;background-color: #ff0000;overflow: hidden;"><br/></section><section style="width: 40px;height: 1px;background-color: #ff0000;overflow: hidden;"><br/></section></section><section><section style="margin-right: 6px;margin-bottom: -6px;width: 1px;height: 40px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section><section style="width: 40px;height: 1px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="28090"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="background-color: rgb(255, 255, 255);padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p><br/></p></section></section></section></section><section data-support="96编辑器" data-style-id="30303"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:flex-start;"><section><section style="width: 40px;height: 1px;background-color: #ff0000;overflow: hidden;"><br/></section><section style="margin-left: 6px;margin-top: -6px;width: 1px;height: 40px;background-color: #ff0000;overflow: hidden;"><br/></section></section><section><section style="width: 40px;height: 1px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section><section style="margin-right: 6px;margin-top: -6px;width: 1px;height: 40px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section></section></section><section style="margin:-30px 12px;"><section style="background-color: rgb(255, 242, 242);padding: 13px;box-sizing: border-box;"><section style="color: #309d8e;font-size: 15px;letter-spacing: 2px;line-height: 1.75em;"><p style="line-height: 2.5em;"><span style="font-size: 16px;color: #000000;"> 那么问题来了，BNP或NT-proBNP升高一定是心衰吗？</span><span style="color: rgb(0, 0, 0);font-size: 16px;">事实并非如此，利钠肽是由心室肌细胞合成和分泌的激素，主要源于室壁张力过高，基于这一机制，凡是可能导致室壁张力增加和利钠肽排泄减少的因素均可使其升高，因此其他非心衰因素也可导致两者的升高，包括体重、年龄、肺部感染、肺癌、肺动脉高压、肺栓塞、睡眠呼吸暂停综合征、呼吸衰竭、心肌梗死、心房颤动、败血症、烧伤、卒中、肝硬化、慢性肾功能不全等，同时肾上腺素、糖皮质激素、甲状腺素及应用洋地黄类药物会使其升高，还有在妊娠的后期临产前利钠肽的浓度也是升高的，甚至剧烈运动也会引起其一过性升高。</span></p></section></section></section><span style="color: #000000;"></span><section style="display: flex;justify-content:space-between;align-items:flex-start;"><section><section style="margin-left: 6px;margin-bottom: -6px;width: 1px;height: 40px;background-color: #ff0000;overflow: hidden;"><br/></section><section style="width: 40px;height: 1px;background-color: #ff0000;overflow: hidden;"><br/></section></section><section><section style="margin-right: 6px;margin-bottom: -6px;width: 1px;height: 40px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section><section style="width: 40px;height: 1px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section></section></section></section></section></p><p style="letter-spacing: 1px;line-height: 2em;"><span style="font-size: 16px;"></span></p><p><section data-support="96编辑器" data-style-id="28090"><section style="text-align: center;margin-top: 10px;margin-bottom: 10px;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="background-color: rgb(255, 255, 255);padding: 10px;color: rgb(255, 19, 13);box-sizing: border-box;"><p></p></section></section></section></section><section data-support="96编辑器" data-style-id="30303"><section style="margin-top: 10px;margin-bottom: 10px;"><section style="display: flex;justify-content:space-between;align-items:flex-start;"><section><section style="width: 40px;height: 1px;background-color: #ff0000;overflow: hidden;"><br/></section><section style="margin-left: 6px;margin-top: -6px;width: 1px;height: 40px;background-color: #ff0000;overflow: hidden;"><br/></section></section><section><section style="width: 40px;height: 1px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section><section style="margin-right: 6px;margin-top: -6px;width: 1px;height: 40px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section></section></section><section style="margin:-30px 12px;"><section style="background-color: rgb(255, 242, 242);padding: 13px;box-sizing: border-box;"><section style="color: #309d8e;font-size: 15px;letter-spacing: 2px;line-height: 1.75em;"><p style="line-height: 2.5em;"><span style="font-size: 16px;color: #000000;"> BNP/NT-proBNP作为一项重要的检测指标，对诊断心力衰竭并判断其预后功不可没，但应注意，任何的辅助检查都不是万能的，当某项结果出现异常时一定要结合临床实际综合分析这样才能作出准确判断。</span></p></section></section></section><span style="color: #000000;"></span><section style="display: flex;justify-content:space-between;align-items:flex-start;"><section><section style="margin-left: 6px;margin-bottom: -6px;width: 1px;height: 40px;background-color: #ff0000;overflow: hidden;"><br/></section><section style="width: 40px;height: 1px;background-color: #ff0000;overflow: hidden;"><br/></section></section><section><section style="margin-right: 6px;margin-bottom: -6px;width: 1px;height: 40px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section><section style="width: 40px;height: 1px;background-color: #ff0000;margin-left: auto;overflow: hidden;"><br/></section></section></section></section></section><section data-support="96编辑器" data-style-id="28090"><section style="margin-top: 10px;margin-bottom: 10px;text-align: center;"><section style="border-width: 1px;border-style: solid;border-color: rgb(255, 19, 13);box-sizing: border-box;"><section style="padding: 10px;background-color: rgb(255, 255, 255);color: rgb(255, 19, 13);box-sizing: border-box;"><p></p></section></section></section></section><section style="white-space: normal;font-family: -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;"><section data-support="96编辑器" data-style-id="23830" style="letter-spacing: 0.544px;text-align: center;"><section style="display: inline-block;"><section style="margin: 15px 5px;"><section style="margin-left: 10px;border-left: 2px dotted rgb(255, 76, 65);height: 3em;box-sizing: border-box;"><br/></section></section></section></section></section><section style="white-space: normal;letter-spacing: 0.544px;font-family: -apple-system-font, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;"><section><section style="margin-top: 10px;margin-bottom: 10px;"><section style="padding-left: 11px;display: inline-block;width: 676.994px;vertical-align: top;box-sizing: border-box;"><section><section style="display: inline-block;width: 665.997px;vertical-align: top;background-color: rgba(255, 255, 255, 0);border-style: solid;border-width: 1px;border-radius: 0px;border-color: rgb(7, 48, 196);box-sizing: border-box;"><section><section style="margin-top: 10px;display: flex;flex-flow: row nowrap;text-align: left;justify-content: flex-start;transform: translate3d(-8px, 0px, 0px);"><section style="display: inline-block;vertical-align: top;width: auto;line-height: 0;letter-spacing: 0px;flex: 0 0 0%;height: auto;align-self: flex-start;"><section style="text-align: right;justify-content: flex-end;"><section style="display: inline-block;width: 8px;height: 45px;vertical-align: top;overflow: hidden;"><section style="text-align: center;"><section style="vertical-align: middle;display: inline-block;line-height: 0;width: 7.8267px;height: auto;"><svg xmlns="http://www.w3.org/2000/svg" x="0px" y="0px" viewbox="0 0 1.5 8.7" style="vertical-align: middle;width: 100%;" width="100%" data-width="100%"><g><path d="M1.5,0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V0.2z" fill="rgb(255,255,255)"></path></g><g><path d="M0.2,7.7H0V1c0-0.5,0.7-1,1.5-1v0.2C0.8,0.2,0.2,0.6,0.2,1v6.2C0.5,6.9,1,6.8,1.5,6.8V7C0.8,7,0.2,7.3,0.2,7.7 z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,8.7C0.7,8.7,0,8.3,0,7.7s0.7-0.9,1.5-0.9V7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V8.7z" fill="rgb(7,48,196)"></path></g><g><path d="M1.5,7C0.8,7,0.2,7.3,0.2,7.7s0.6,0.7,1.3,0.7V7z" fill="#5f9cef"></path></g></svg></section></section></section></section></section><section style="margin-left: -1px;display: inline-block;vertical-align: top;width: auto;flex: 100 100 0%;align-self: flex-start;height: auto;"><section style="justify-content: flex-start;"><section style="padding-right: 20px;padding-left: 10px;display: inline-block;vertical-align: top;overflow: hidden;height: 36px;width: auto;min-width: 10%;border-width: 1px;border-bottom-right-radius: 100px;border-style: solid solid solid none;border-color: rgb(7, 48, 196) rgb(7, 48, 196) rgb(7, 48, 196) rgb(138, 50, 222);border-top-right-radius: 100px;border-bottom-left-radius: 0px;box-sizing: border-box;"><section style="color: rgb(7, 48, 196);text-align: center;letter-spacing: 2px;line-height: 2.2;"><p><strong>联系方式</strong></p></section></section></section></section></section></section><section style="margin-bottom: 10px;"><section style="padding-right: 20px;padding-left: 20px;letter-spacing: 1.8px;line-height: 1.8;box-sizing: border-box;"><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">1、咨询株洲恺德心血管病医院订阅号<strong><span style="color: rgb(7, 48, 196);">在线客服；</span></strong><br/>2、咨询电话：<strong><span style="color: rgb(7, 48, 196);">0731-28263456</span></strong></span></p><p style="color: rgb(62, 62, 62);"><span style="font-size: 16px;">3、住院部地址：株洲恺德心血管病医院<span style="color: rgb(7, 48, 196);"><strong>第二住院大楼4楼（心衰中心）</strong></span></span></p><p><span style="font-size: 16px;"><span style="color: rgb(0, 0, 0);">4、</span><strong style="color: rgb(7, 48, 196);">心衰门诊地址</strong><span style="color: rgb(0, 0, 0);"><strong>：</strong></span><strong style="color: rgb(7, 48, 196);">新华西路门诊部2号诊室</strong><span style="color: rgb(0, 0, 0);">（<span style="color: rgb(62, 62, 62);letter-spacing: 1.8px;">华润万家对面</span>）</span></span></p></section></section></section></section></section></section></section><section><section style="border-top: 1px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section><section style="margin-top: 3px;border-top: 4px solid rgb(7, 48, 196);line-height: 0;box-sizing: border-box;"><section style="line-height: 0;width: 0px;"><svg viewbox="0 0 1 1" style="vertical-align:top;"></svg></section></section></section><section><p style="text-align: right;"><span style="font-size: 12px;letter-spacing: 0.544px;">文案：任承潜</span><span style="letter-spacing: 0.544px;text-align: justify;"></span></p></section></section></p><p style="white-space: normal;"><br/></p><p><br/></p><link rel="stylesheet" href="//bbs.zhuzhou.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_jAn" id="wcn_editor_css"/>
页:
[1]