心电图与D-二聚体在急性肺栓塞患者的诊断价值

Diagnostic value of electrocardiogram and D-dimer in acute pulmonary embolism

目的探讨心电图与D-二聚体在急性肺栓塞患者的诊断价值。方法选择在我院接受诊治的经肺动脉血管造影检查确诊为急性肺栓塞患者58例作为研究对象,另外选取同期在我院治疗的经X线及细菌学检查确诊为慢性支气管炎患者53例作为对照组,所有患者均接受心电图、D-二聚体诊断,探讨心电图、D-二聚体对急性肺栓塞患者诊断价值。结果心电图检测对急性肺栓塞患者检测阳性率为93.10%,显著高于对慢性支气管炎检测阳性率(P<0.05);D-二聚体检测对急性肺栓塞患者检测阳性率为89.66%,显著高于对慢性支气管炎检测阳性率(P<0.05)。结论心电图与D-二聚体在急性肺栓塞诊断中均具有重要的诊断价值。

Objective To explore the diagnostic value of electrocardiogram and D-dimer in acute pulmonary embolism. Methods 58 patients with acute pulmonary embolism confirmed by pulmonary angiography were selected as the study group, and 53 patients with chronic bronchitis confirmed by X-ray and bacteriological examination were taken as the control group. All patients were gave electrocardiogram and D-dimer diagnosis. The diagnostic value of electrocardiogram and D-dimer in acute pulmonary embolism was explored. Results The positive rate of electrocar-diogram test for pulmonary embolism was 93.10%, which was significantly higher than that for chronic bronchitis （P 〈0. 05 ）. The positive rate of D-dimer test for pulmonary embolism was 89.66%, significantly higher than that for chronic bronchitis （P 〈 0. 05）. Conclusion Electrocardiogram and D - dimer have important diagnostic value in the diagnosis of acute pulmonary embolism.