| D-二聚体在主动脉夹层中的临床意义 |
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| 引用本文： | 金小岩,施旖旎,蒋龙元.D-二聚体在主动脉夹层中的临床意义[J].岭南急诊医学杂志,2008,13(6). |
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| 作者姓名： | 金小岩 施旖旎 蒋龙元 |
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| 作者单位： | 中山大学附属第二医院南院急诊科,510120 |
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| 摘 要： | 目的:通过检测不同类型、病期和预后主动脉夹层(AD)患者血中D-二聚体浓度,探讨D-二聚体对AD的临床意义。方法:回顾性分析45例AD患者的临床资料。结果:主动脉夹层形成后D-二聚体均升高,均值为866.1±430ug/L。D-二聚体水平在急性期显著高于慢性期(P<0.01),DⅠ型明显高于DⅢ型(P<0.01)。死亡患者D-二聚体水平显著高于存活者。结论:D-二聚体水平有助于不同病期、不同类型AD的诊断,对鉴别诊断、判断病变范围及预后有一定指导意义。
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| 关 键 词： | 主动脉夹层 D-二聚体 |
Clinical Value of D-dimer Levels in Aortic Dissection |
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| JIN Xiao-yan,SHI Yi-ni,JIANG Long-yuan.Clinical Value of D-dimer Levels in Aortic Dissection[J].Lingnan Journal of Emergency Medicine,2008,13(6). |
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| Authors: | JIN Xiao-yan SHI Yi-ni JIANG Long-yuan |
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| Institution: | JIN Xiao-yan,SHI Yi-ni,JIANG Long-yuan Department of Emergency,the Second Affiliated Hospital,Sun Yat-sen University,Guangzhou,510120 |
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| Abstract: | Objective: To investigate the D-dimer levels in different types and stages of aortic dissection,and further to the clinical value of D-dimer in aortic dissection. Methods: The clinical data of 45 cases was analyzed retrospectively. Results: The D-dimer were significantly higher in aortic dissection and the mean value was 866.1±430 ug/L. The D-dimer were significantly higher in acute aortic dissection and DeBakeyⅠthan that in chronic ones and DeBakey Ⅲ,both P < 0.01. D-dimer values were much higher in the... |
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| Keywords: | aortic dissection D-dimer |
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