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D-二聚体手术前后检测对术后肺栓塞诊断的应用价值研究 被引量:2

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摘要 目的通过手术前后对患者血浆D-二聚体的检测,为术后肺栓塞的诊断提供依据。方法应用D-二聚体试剂盒半定量检测手术前后患者血浆D-二聚体含量。结果术前检测D-二聚体阴性病例100例,术后检测74例患者的血浆D-二聚体阴性,26例患者血浆D-二聚体阳性。结论D-二聚体检测阳性对诊断术后肺栓塞的特异性低,D-二聚体的测定作为术后肺栓塞的筛选方法,其意义在于阴性结果可以排除肺栓塞,阳性结果则可提示需进一步检查以明确诊断,不要轻易下肺栓塞的诊断。
出处 《中国现代医生》 2009年第35期152-153,共2页 China Modern Doctor
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  • 1葛璘,陈湘.肺栓塞54例临床分析[J].临床医学,2006,26(1):31-33. 被引量:6
  • 2李惠新,窦丽娟,孙丽云.肺栓塞28例临床分析[J].中国医药,2006,1(3):147-148. 被引量:14
  • 3朱宏刚,孟晓皓,景凯,倪建勋,于俊明,马秀峰,田慧风,张大义,王玉忠,冯青伟.骨折后无深静脉血栓形成临床症状并发肺栓塞26例分析[J].中国医药,2006,1(3):165-166. 被引量:6
  • 4蔡颖.尿激酶与低分子肝素联合治疗急性肺动脉栓塞临床分析[J].中国医药,2007,2(7):395-396. 被引量:4
  • 5Moores LK. Diagnosis and management of pulmonary embolism : are we moving toward an outcome standard [ J ] ? Arch Intern Med, 2006,166 ( 2 ) : 147-148.
  • 6Aujesky D, Obrosky DS, Stone RA,et al. A prediction rule to identify low-risk patients with pulmonary embolism [ J ]. Arch Intern Med, 2006,166 (2) : 169-175.
  • 7Rodger MA, Bredeson CN,Jones G, et al. The bedside investigation of pulmonary embolism diagnosis study: a double-blind randomized controlled trial comparing combinations of 3 bedside tests vs ventilation-perfusion scan for the initial investigation of suspected pulmonary embolism[J]. Arch Intern Med,2006,166(2) :181-187.
  • 8Le GG,Righini M, Roy PM, et al. Value of D-dimer testing for the exclusion of pulmonary embolism in patients with previous venous thromboembolism [ J 1. Arch Intern Med ,2006,166 ( 2 ) : 176-180.
  • 9Giannitsis E, Katus HA. Risk stratification in pulmonary embolism based on biomarkers and echocardiography [J]. Circulation, 2005, 112(11) :1520-1521.
  • 10Brady AJ. Pulmonary embolism in hospital practice: certain crucial procedures were omitted[J]. BMJ,2006,332(7536) :304.

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  • 1刘文沛.血流动力学稳定的非大面积肺栓塞溶栓治疗临床观察[J].中国药物与临床,2011,11(S1):44-44. 被引量:6
  • 2孙秀梅,贾立新,耿广华.D-二聚体测定在肺栓塞诊断中的应用价值[J].职业与健康,2005,21(9):1331-1333. 被引量:2
  • 3程显声.老年肺动脉血栓栓塞症的治疗[J].中华老年心脑血管病杂志,2005,7(2):76-78. 被引量:10
  • 4Geerts WH, Pineo GF, Heit JA,et al. Prevention of venous thrombo- embolism:the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy[J]. Chest,2004,126(3 Suppl) :338S-400S.
  • 5Mukherjee D,Lidor AO,Chu KM,et cd. Postoperative venous thromlx embolism rates vary significantly aft er different types of major abdomi- nal operations[J]. J Gastrointest Surg,2008,12(ll ) :2015-2022.
  • 6Zurawska U, Parasuraman S, Goldhaber SZ. Prevention of pulmona- ry embolism in general surgery patients[ J ]. Circulation ,2007,115 ( 9 ) : e302 -e307.
  • 7Becket's MM, Ruven H J, Haas FJ,et al. Single nueIeotide polymor- phisms in inflammation-related genes are associated with venous thromboembolism [ J ]. Eur J Intern Med, 2010,21 ( 4 ) : 289 -292.
  • 8Gohil R, Peck G, Sharma P, et al. The genetics of venous thrombo- embolism. A meta-analysis involving approximately 120,000 eases and 180,000 controls [J]. Thromb Haemost, 2009, 102 ( 2 ) : 360-370.
  • 9Stmiff MB. Diagnosis and initial treatment of venous thromboembo- lism in patients with cancer [ J ]. J Clin Oncol, 2009,27 ( 29 ) : 4889-4894.
  • 10Falanga A, Marchetti M. Venous thromboembolism in the hemato- logie malignancies[ J]. J Clin Oncol,2009,27(29) :4848-4857.

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