【中图分类号】R541.6+1 【文献标识码】A【文章编号】1672-5085(2008)03-0165-02

    【摘要】急性充血性心力衰竭(CHF)是一个临床综合征。CHF的确定并不是基于某项独立的实验室结果，而是基于患者的临床症状及体征而作出的临床诊断，缺乏较特异的指标，有50%的CHF患者最初被诊断为心衰之外的疾病而误诊，从而使患者的病情恶化甚至导致死亡。因此，急诊室的CHF的诊断应快速而准确。BNP是由心房和心室分泌，主要由左心室分泌。在CHF患者中，血浆BNP的上升，对于评估心室充盈压升高有高度的特异性，因而可提供相对可靠的诊断和预后的信息。

    【关键词】急性充血性心力衰竭(CHF)；BNP

    BNP blood in patients with congestive heart failure diagnosis of An Yan

    【Abstract】Acute congestive heart failure (CHF) is a clinical syndrome. CHF is not based on the determination of an independent laboratory results, but on the basis of the patient’s clinical symptoms and signs and a clinical diagnosis, the lack of a specific target, 50 percent of the patients with CHF initially was diagnosed with congestive heart failure from the disease And misdiagnosed, so that patients with the condition deteriorated even cause death. Therefore, the emergency room of CHF diagnosis should be quickly and accurately. BNP is secreted by the atrium and ventricle, the main secreted by the left ventricle. In CHF patients, the increase in plasma BNP, the assessment of ventricular fillinga high degree of specificity, which can provide a relatively reliable diagnosis and prognosis of information. ......