{"id":144063,"date":"2020-07-22T08:37:53","date_gmt":"2020-07-22T08:37:53","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e6%80%a5%e6%80%a7%e5%bf%83%e8%82%8c%e6%a2%97%e5%a1%9e%e4%b9%8b%e5%bf%ab%e9%80%9f%e8%a8%ba%e6%96%b7%ef%bc%9a%e8%87%a8%e5%ba%8a%e5%af%a6%e9%a9%97%e5%ae%a4%e4%b9%8b%e9%97%9c%e9%8d%b5%e4%bd%9c%e7%94%a8\/"},"modified":"2026-01-19T07:01:48","modified_gmt":"2026-01-19T07:01:48","slug":"rapid-diagnosis-of-acute-myocardial-infarction-the-critical-role-of-clinical-labs","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhtw\/disease-area\/cardiology\/rapid-diagnosis-of-acute-myocardial-infarction-the-critical-role-of-clinical-labs\/","title":{"rendered":"\u6025\u6027\u5fc3\u808c\u6897\u585e\u4e4b\u5feb\u901f\u8a3a\u65b7\uff1a\u81e8\u5e8a\u5be6\u9a57\u5ba4\u4e4b\u95dc\u9375\u4f5c\u7528"},"content":{"rendered":"<p>\u5feb\u901f\u4e14\u5b89\u5168\u5730\u8a3a\u65b7\u6025\u6027\u5fc3\u808c\u6897\u585e(AMI)\u5177\u6709\u91cd\u8981\u7684\u91ab\u5b78\u53ca\u7d93\u6fdf\u610f\u7fa9\uff0c\u56e0\u70ba\u5b83\u6709\u52a9\u65bc\u53ca\u6642\u6cbb\u7642\u80f8\u75db\u4e26\u53ef\u80fd\u63d0\u524d\u51fa\u9662\u9032\u884c\u9580\u8a3a\u7ba1\u7406\u3002\u6700\u8fd1\u81e8\u5e8a\u4e0a\u5f15\u5165\u4e86\u4f7f\u7528\u6b50\u6d32\u5fc3\u81df\u75c5\u5b78\u6703(ESC) 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style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 28px !important; line-height: 36px !important; letter-spacing: 0px !important;\">0h\/1h\u6f14\u6f14\u7b97\u6cd5\u539f\u7406<\/h3>\n<p>0h\/1h\u6f14\u6f14\u7b97\u6cd5\u70baESC\u63a8\u85a6\u4e4b\u5ee3\u6cdb\u9a57\u8b49\u4e4b\u65b9\u6848\uff0c\u7576hs-cTnT\u53ef\u7528\u6642\uff0c\u53ef\u57281\u5c0f\u6642\u5167\u5c07\u60a3\u8005\u5feb\u901f\u8655\u7f6e\u70ba\u300c\u7d0d\u5165\u300d\u6216\u300c\u6392\u9664\u300d AMI\u30020\u5c0f\u6642\u6642\u5c0f\u65bc12 ng\/L\u7684\u4f4e\u57fa\u7dda\u808c\u9223\u86cb\u767d\u6fc3\u5ea6\u4e141\u5c0f\u6642\u5167\u6fc3\u5ea6\u8b8a\u5316&lt;3 ng\/L\u7b26\u5408\u300c\u6392\u9664\u300d\u689d\u4ef6\uff1b0\u5c0f\u6642\u6642\u5927\u65bc\u6216\u7b49\u65bc52 ng\/L\u4e141\u5c0f\u6642\u5167\u6fc3\u5ea6\u8b8a\u5316\u22655 ng\/L\u7684\u9ad8\u57fa\u7dda\u808c\u9223\u86cb\u767d\u7b26\u5408\u300c\u7d0d\u5165\u300d\u689d\u4ef6\u3002\u4e0d\u7b26\u5408\u4efb\u4e00\u6a19\u6e96\u7684\u60a3\u8005\u5c07\u88ab\u7f6e\u65bc\u300c\u89c0\u5bdf\u300d\u5340\uff08\u53c3\u898b\u4e0b\u9762\u7684\u57161\uff09\u3002<\/p>\n<figure style=\"width: 2451px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\" size-full wp-image-84644\" src=\"\/wp-content\/uploads\/2020\/07\/1-hour-algo-Figure-1-fbc.png\" alt=\"1\u5c0f\u6642\u6f14\u7b97\u6cd5-\u57161\" width=\"2451\" height=\"1347\" data-caption=\"Figure 1: 0h\/1h algorithm using hs-cTnT as recommended by the ESC\" data-entity-type=\"file\" data-entity-uuid=\"2ea34a67-f29a-4576-b43c-73d9e396d3fd\" title=\"\" srcset=\"https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-1-fbc.png 2451w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-1-fbc-302x166.png 302w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-1-fbc-1024x563.png 1024w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-1-fbc-768x422.png 768w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-1-fbc-1536x844.png 1536w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-1-fbc-2048x1126.png 2048w\" sizes=\"(max-width: 2451px) 100vw, 2451px\" \/><figcaption class=\"wp-caption-text\">\u57161\uff1a\u6839\u64daESC\u7684\u5efa\u8b70\u4f7f\u7528hs-cTnT\u76840h\/1h\u6f14\u7b97\u6cd5<\/figcaption><\/figure>\n<p>\u5728\u6700\u8fd1\u8207Roche Diagnostics Asia Pacific\u9032\u884c\u7684\u4e00\u7cfb\u5217\u8a2a\u8ac7\u4e2d\uff0c\u4f86\u81ea\u6cf0\u570bKing Chulalongkorn Memorial Hospital\u548c\u65e5\u672c\u9806\u5929\u5802\u5927\u5b78\u91ab\u5b78\u9662\u9644\u8a2d\u7df4\u99ac\u91ab\u9662\u7684\u5fc3\u81df\u75c5\u5c08\u5bb6\u548cED\u91ab\u5e2b\u2014\u4e9e\u592a\u5730\u5340\u7684\u5169\u5bb6\u91ab\u9662\u5df2\u6210\u529f\u63a1\u75280h\/1h\u6f14\u7b97\u6cd5\u9032\u884cAMI\u8a3a\u65b7\u2014\u5206\u4eab\u4e86\u4ed6\u5011\u7684\u5be6\u65bd\u7d93\u9a57\u548c\u5c0d\u60a3\u8005\u8b77\u7406\u548c\u7d50\u679c\u7684\u7a4d\u6975\u5f71\u97ff\u3002<\/p>\n<h3 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 24px !important; line-height: 32px !important; letter-spacing: 0px !important;\">\u81e8\u5e8a\u5be6\u9a57\u5ba4\u7684\u95dc\u9375\u4f5c\u7528<\/h3>\n<p>\u5c0d\u65bc\u7591\u4f3cAMI\u60a3\u8005\uff0c\u5be6\u9a57\u5ba4\u5fc5\u9808\u78ba\u4fddhs-cTnT\u7684\u5feb\u901f\u9031\u8f49\u6642\u9593(TAT)\uff0c\u4ee5\u4fbf\u6e96\u78ba\u89e3\u91cb1\u5c0f\u6642\u5167\u5fc3\u808c\u808c\u9223\u86cb\u767d\u7684\u8b8a\u5316\u3002\u6cf0\u570bKing Chulalongkorn Memorial Hospital\u5fae\u751f\u7269\u5b78\u7cfb\u526f\u6559\u6388Chintana Chirathaworn\u91ab\u5e2b\u8aaa\uff1a\u300c\u5982\u4eca\uff0c\u5be6\u9a57\u5ba4\u6aa2\u6e2c\u4e0d\u50c5\u50c5\u95dc\u4e4e\u54c1\u8cea\u548c\u6e96\u78ba\u6027\u3002\u300d\u300c\u5982\u4eca\uff0c\u6211\u5011\u9700\u8981\u66f4\u6ce8\u91cd\u901f\u5ea6\u548c\u5feb\u901f\u9031\u8f49\u6642\u9593\uff0c\u4ee5\u4fbf\u81e8\u5e8a\u91ab\u5e2b\u80fd\u5920\u5feb\u901f\u8a3a\u65b7\u548c\u8a55\u4f30\u75c5\u60a3\u3002\u300d\u63a8\u52d5\u5be6\u9a57\u5ba4\u6548\u7387\u4ee5\u4f7f0h\/1h\u6f14\u6f14\u7b97\u6cd5\u6210\u70ba\u53ef\u80fd\u7684\u4e00\u4e9b\u95dc\u9375\u56e0\u7d20\u5305\u62ec\u7528\u65bc\u5feb\u901f\u6aa2\u9ad4\u8655\u7406\u7684\u9810\u5206\u6790\u55ae\u5143\u3001\u5728\u5e7e\u5206\u9418\u5167\u7522\u751f\u6e2c\u8a66\u7d50\u679c\u7684\u81ea\u52d5\u6aa2\u6e2c\u7cfb\u7d71\u3001\u76f4\u63a5\u5c07\u7d50\u679c\u50b3\u9001\u7d66\u81e8\u5e8a\u91ab\u5e2b\u7684\u8cc7\u8a0a\u7cfb\u7d71\uff0c\u4ee5\u53ca\u7528\u65bc\u54c1\u8cea\u63a7\u5236\u548c\u0394\u6aa2\u67e5\u7684\u81ea\u52d5\u9a57\u8b49\u7cfb\u7d71\u3002\u5be6\u9a57\u5ba4\u6210\u54e1\u7a4d\u6975\u53c3\u8207\u8207\u76f8\u95dc\u91ab\u5e2b\u7684\u8a0e\u8ad6\u4e5f\u5f88\u91cd\u8981\uff0c\u4ee5\u78ba\u4fdd\u6aa2\u6e2c\u7d50\u679c\u7684\u6e96\u78ba\u6027\u548c\u5c0d\u6240\u9700\u65b9\u6848\u7684\u9075\u5b88\u3002\u300c\u6211\u5011\u9700\u8981\u77e5\u9053\u91ab\u5e2b\u60f3\u8981\u4ec0\u9ebc\u578b\u5225\u7684\u6aa2\u67e5\uff0c\u4ee5\u53ca\u4ed6\u5011\u60f3\u8981\u5982\u4f55\u6b63\u78ba\u5730\u8a3a\u65b7\u75c5\u60a3\u300d\uff0cChirathaworn\u91ab\u5e2b\u88dc\u5145\u8aaa\u3002<\/p>\n<h3 class=\"text-align-justify\" style=\"font-family: Inter !important; font-weight: 500 !important; font-size: 24px !important; line-height: 32px !important; letter-spacing: 0px !important;\">\u78ba\u4fdd0h\/1h\u6f14\u6f14\u7b97\u6cd5\u7684\u5feb\u901fTAT\u7684\u6b65\u9a5f<\/h3>\n<p>King Chulalongkorn Memorial Hospital\u5fc3\u81df\u5c0e\u7ba1\u5be6\u9a57\u5ba4\u4e3b\u4efbWacin Buddhari\u91ab\u5e2b\u8aaa\uff1a\u300c\u7576\u6211\u5011\u7b2c\u4e00\u6b21\u4f7f\u75281\u5c0f\u6642\u6f14\u7b97\u6cd5\u6642\uff0c\u6211\u5011\u6709\u6642\u7121\u6cd5\u57281\u5c0f\u6642\u5167\u6062\u5fa9\u7d50\u679c\u3002\u300d\u300c\u56e0\u6b64\uff0c\u6211\u5011\u4e0d\u5f97\u4e0d\u5c0d\u4e00\u4e9b\u74b0\u7bc0\u9032\u884c\u8abf\u6574\uff0c\u8b93\u6211\u5011\u80fd\u5728 1 \u5c0f\u6642\u5167\u6536\u5230\u6aa2\u6e2c\u7d50\u679c\uff0c\u5305\u62ec\u9001\u6aa2\u8840\u6db2\u6a23\u672c\u3001\u6aa2\u6e2c\u7a0b\u5e8f\u548c\u7d50\u679c\u5831\u544a\u3002\u300dChirathaworn\u91ab\u5e2b\u63cf\u8ff0\u4e86King Chulalongkorn Memorial Hospital\u81e8\u5e8a\u5be6\u9a57\u5ba4\u8a8d\u70ba\u5c0d\u65bc\u78ba\u4fdd\u5feb\u901fTAT\u53ca\u6210\u529f\u57f7\u884c0h\/1h\u6f14\u6f14\u7b97\u6cd5\uff08\u53c3\u898b\u4e0b\u65b9\u57162\uff09\u5f88\u91cd\u8981\u7684\u300c4R\u300d\u3002<\/p>\n<figure style=\"width: 2500px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\" size-full wp-image-84653\" src=\"\/wp-content\/uploads\/2020\/07\/1-hour-algo-Figure-2-bc6.png\" alt=\"1\u5c0f\u6642\u6f14\u7b97\u6cd5 -\u57162\" width=\"2500\" height=\"1239\" data-caption=\"Figure 2: Dr Chirathaworn&#039;s &#039;4Rs&#039; for clinical labs to implement the 0h\/1h algorithm\" data-entity-type=\"file\" data-entity-uuid=\"87b94f33-3cf5-4b43-8e7a-76a4cdca49cc\" title=\"\" srcset=\"https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-2-bc6.png 2500w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-2-bc6-302x150.png 302w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-2-bc6-1024x507.png 1024w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-2-bc6-768x381.png 768w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-2-bc6-1536x761.png 1536w, https:\/\/labinsights.com\/app\/uploads\/2020\/07\/1-hour-algo-Figure-2-bc6-2048x1015.png 2048w\" sizes=\"(max-width: 2500px) 100vw, 2500px\" \/><figcaption class=\"wp-caption-text\">\u57162 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href=\"https:\/\/cardiothinklab.com\/\" target=\"_blank\" rel=\"noopener\">Cardio Thinklab<\/a>\uff0c\u9019\u662f\u4e00\u500b\u6709\u95dc\u5fc3\u8840\u7ba1\u75be\u75c5\u7ba1\u7406\u7684\u79d1\u5b78\u6559\u80b2\u5165\u53e3\u7db2\u7ad9\u3002\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5feb\u901f\u4e14\u5b89\u5168\u5730\u8a3a\u65b7\u6025\u6027\u5fc3\u808c\u6897\u585e(AMI)\u5177\u6709\u91cd\u8981\u7684\u91ab\u5b78\u53ca\u7d93\u6fdf\u610f\u7fa9\uff0c\u56e0\u70ba\u5b83\u6709\u52a9\u65bc\u53ca\u6642\u6cbb\u7642\u80f8\u75db\u4e26\u53ef\u80fd\u63d0\u524d\u51fa\u9662\u9032\u884c\u9580\u8a3a\u7ba1\u7406\u3002\u6700\u8fd1\u81e8\u5e8a\u4e0a\u5f15\u5165\u4e86\u4f7f\u7528\u6b50\u6d32\u5fc3\u81df\u75c5\u5b78\u6703(ESC) 0\u5c0f\u6642\/1\u5c0f\u6642(0h\/1h)\u6f14\u6f14\u7b97\u6cd5\u7684\u9ad8\u9748\u654f\u5ea6\u5fc3\u808c\u808c\u9223\u86cb\u767dT 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