胸腔积液以及血液检测D-二聚体对部分肺部疾病的临床意义

目的:通过对86例胸腔积液和131例血液的D-二聚体的指标的检测,了解部分肺部疾病的纤溶变化。方法:检测结核性胸膜炎、肺结核、恶性病变、以及引起漏出液的D-二聚体结果,利用全自动血凝仪采用浊度法检测标本的D-二聚体含量。结果:不同原因引起的胸腔积液D-二聚体的检测结果均高于正常参考值,并且在检测患者血液的同时,胸腔积液结果均高于血液。结核性胸膜炎、肺结核、恶性病变患者血液D-二聚体水平均较正常参考值有显著增高,漏出液患者结果与正常参考值无统计学意义。结论:结核性胸膜炎、肺结核以及恶性病变患者的D-二聚体含量明显有所增高,而且胸腔积液的数值大于血液,对临床有一定的辅助诊断意义。

Clinical significance of pleural effusion and blood D-dimer test in some lung diseases

Objective Through the testing of pleural effusion in 86 cases and blood D-dimer in 131 cases,to understand the fibrinolysis changes in some lung diseases.Method The levels of D-dimer in specimens were detected by automated coagulation instrument.Results D-dimer test results were higher in pleural effusions of different causes than normal reference values,and the detection results of pleural effusion were higher than the patients′ blood at the same time.Blood D-dimer levels in patients with tuberculous pleurisy, tuberculosis and malignant lesions were higher than normal reference values,with significant difference,while in patients with transudate had no statistical significance with normal reference values.Conclusion D-dimer levels in patients with tuberculous pleurisy,tuberculosis and malignant lesions increase significantly,and the values of pleural effusion is greater than blood,showing a certain diagnosis significance for clinic.