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颅脑损伤患者血浆D-二聚体含量与伤情及预后的相关性
引用本文:黄波,伍爱平,陈冬妹,刘勇,李政,高添喜,黄惠伦. 颅脑损伤患者血浆D-二聚体含量与伤情及预后的相关性[J]. 临床误诊误治, 2004, 17(8): 542-543
作者姓名:黄波  伍爱平  陈冬妹  刘勇  李政  高添喜  黄惠伦
作者单位:中山市博爱医院,广东,中山,528403;中山市博爱医院,广东,中山,528403;中山市博爱医院,广东,中山,528403;中山市博爱医院,广东,中山,528403;中山市博爱医院,广东,中山,528403;中山市博爱医院,广东,中山,528403;中山市博爱医院,广东,中山,528403
摘    要:目的探讨D 二聚体含量与颅脑损伤病人伤情及预后的相关性。方法应用免疫比浊法动态检测 90例不同伤情的颅脑损伤病人血浆中D 二聚体的含量 ,并与健康体检者进行对照 ,比较D 二聚体含量与格拉斯哥昏迷分级 (GCS)和格拉斯哥预后分级 (GOS)的关系。结果患者组D 二聚体含量明显高于对照组 ,并与GCS、GOS呈负相关 ,且随伤情演变同步升降。结论动态监测血浆D 二聚体的变化有助于早期准确地判断颅脑损伤伤情与预后。

关 键 词:颅脑损伤  D-二聚体  格拉斯哥昏迷量表  格拉斯哥预后评分
文章编号:1002-3429(2004)08-0542-02
修稿时间:2004-03-16

Correlation of plasma D-dimer level in patients with head injury to the severity and prognosis
HUANG Bo,WU Ai-ping,CHEN Dong-mei,et al. Correlation of plasma D-dimer level in patients with head injury to the severity and prognosis[J]. Clinical Misdiagnosis & Mistherapy, 2004, 17(8): 542-543
Authors:HUANG Bo  WU Ai-ping  CHEN Dong-mei  et al
Abstract:Objective To explore the correlation of plasma D-dimer level with the severity and prognosis of head injury.Methods The plasma levels of D-dimer were dynamically measured with immunoturbidimetry in 90 patients with head injuries and 30 normal controls. And the relationship between Glasgow coma score(GCS),Glasgow outcome score(GOS)and the concentration of D-dimer were also compared.Results The plasma levels of D-dimer in patients with head injuries were increased markedly,compared with those in healthy controls.The concentration of D-dimer correlated negatively with GCS and GOS.This pattern of correlation was changing along with the development of head injury.Conclusions Dynamic detection of D-dimer in plasma might be useful to judging the severity and prognosis of head injury at early stage.
Keywords:Brain injury  D-dimer  Glasgow coma score  Glasgow outcome score
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