| 急性冠脉综合征患者D-二聚体检测的临床意义 |
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| 引用本文： | 谢怡怡.急性冠脉综合征患者D-二聚体检测的临床意义[J].江西医学检验,2014(3):285-286. |
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| 作者姓名： | 谢怡怡 |
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| 作者单位： | 浙江大学医学院附属第二医院检验科,浙江杭州310009 |
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| 摘 要： | 目的：探讨血浆D-二聚体水平在急性冠脉综合征（ACS）患者中的变化与临床意义。方法检测121例急性冠脉综合征（ACS）患者血浆D-二聚体水平，其中不稳定心绞痛（UAP）患者43例，非ST段抬高型心肌梗死（NSTEMI）患者30例，ST段抬高型心肌梗死（STEMI）患者48例，与50例对照组比较，并进行统计分析。结果 ACS各组血浆D-二聚体水平均高于对照组（P＜0.05）；STEMI组血浆D-二聚体水平高于NSTEMI组（P＜0.05）和UAP组（P＜0.05）。结论 ACS患者血浆D-二聚体水平增高对ACS的防治和病情的观察有重要的临床意义。
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| 关 键 词： | 急性冠脉综合征 D-二聚体 心肌梗死 |
The clinical significance of measuring plasma D-dimer level in patients with acute coronary syndrome |
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| XIE Yiyi.The clinical significance of measuring plasma D-dimer level in patients with acute coronary syndrome[J].Jiangxi Journal of Medical Laboratory Sciences,2014(3):285-286. |
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| Authors: | XIE Yiyi |
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| Institution: | XIE Yiyi(Department of Clinical Laboratory, the Second Affiliated Hospital, Medical College of Zhejiang University, Hangzhou 310009, China) |
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| Abstract: | Objective To evaluate the changes of plasma D-dimer level in the patients with acute coronary syndrome （ACS） and its clinical significance. Methods Plasma D-dimer levels of 121 patients with acute coronary syndrome （ACS） were detected, among them, 43 patients with unstable angina pectoris （UAP）, 30 patients with non ST-elevation myocardial infarction （NSTEMI）, and 48 patients with ST-elevation myocardial infarction（STEMI）. Their plasma D-dimer levels were compared with those of 50 cas-es in control group by statistical analysis. Results The plasma D-dimer level in each ACS group was higher than that in control group （P〈0.05）. The plasma D-dimer level in STEMI group was higher than those in NSTEMI group（P〈0.05） and UAP group（P〈0.05）. Conclusion The increase of plasma D-dimer in patients with ASC has an important clinical significance for the prevention of ACS and condition monitoring. |
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| Keywords: | Acute coronary syndrome （ACS） D-dimmer Myocardial infarction |
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