| D-二聚体正常的肺栓塞患者九例临床分析 |
| |
| 引用本文： | 马海英,刘春芳,刘君.D-二聚体正常的肺栓塞患者九例临床分析[J].中国呼吸与危重监护杂志,2011,10(1):77-79. |
| |
| 作者姓名： | 马海英 刘春芳 刘君 |
| |
| 作者单位： | 1. 大连市中心医院呼吸科,辽宁,大连,116033
2. 盘锦市辽河油田中心医院康复科,辽宁,盘锦,124010 |
| |
| 摘 要： | 目的提高对D-二聚体正常的肺栓塞（PTE）的认识。方法回顾分析2004年1月至2009年12月入院、血浆D-二聚体正常并确诊PTE的9例患者的临床资料。结果 9例D-二聚体正常PTE患者中,仅1例W ells临床评分为3分,为临床PTE不可能组,肺动脉增强CT明确为段PTE。其他8例均为临床PTE可能患者,W ells临床评分为4.5～7.5分（中位数6.0分）,病程1 h～2个月,D-二聚体为0.1～0.5 mg/L（中位数0.3 mg/L）;肺动脉增强CT血栓位置：3例为亚段PTE,3例为段PTE,2例为主干PTE。结论 D-二聚体测试结果之后,至关重要的是先检查病人和进行临床可能性评估,在临床PTE可能患者中,一个正常的D-二聚体检测结果不能排除PTE,影像学检查仍然是必需的。
|
| 关 键 词： | 肺栓塞 深静脉血栓 D-二聚体 |
Pulmonary Embolism with Normal D-dimer Level:Nine Cases Report |
| |
| MA Hai-ying,LIU Chun-fang,LIU Jun.Pulmonary Embolism with Normal D-dimer Level:Nine Cases Report[J].Chinese Journal of Respiratory and Critical Care Medicine,2011,10(1):77-79. |
| |
| Authors: | MA Hai-ying LIU Chun-fang LIU Jun |
| |
| Institution: | MA Hai-ying,LIU Chun-fang,LIU Jun.Department of Respiratory Medicine,Dalian Central Hospital.Dalian,116033,China |
| |
| Abstract: | Objective To improve the knowledge of pulmonary embolism with normal D-dimer levels.Methods Nine consecutive patients of established pulmonary embolism with a normal D-dimer concentration admitted from January 2004 to December 2009 were analyzed retrospectively.Results Pulmonary embolism was confirmed in the 9 patients with a normal D-dimer concentration.Pulmonary embolism was confirmed in only one patient with an unlikely probability of pulmonary embolism.Wells score was 3 and the localization of the embol... |
| |
| Keywords: | Pulmonary embolism Deep venous thrombosis D-dimer |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
