血浆D-二聚体浓度在急诊主动脉夹层患者抢救中的作用价值

Value of Plasma D-Dimer Concentration in Emergency Rescue of Patients with Aortic Dissection

目的探讨血浆D-二聚体浓度在急诊主动脉夹层患者抢救中作用价值。方法选取本院收治的664例主动脉夹层与心肌梗死患者作为研究对象,随机分为AAD组(126例)和AMI组(538例)。分析血浆D-二聚体浓度表达情况。结果 AAD组患者血浆D-二聚体浓度表达为(10 366.91±945.93)μg/L,显著高于AMI组(3 768.56±478.29)μg/L(P<0.05)。结论血浆D-二聚体浓度对主动脉夹层的早期诊断具有重要价值,灵敏度较高。能够协助急诊医生对疑似主动脉夹层患者进行快速排查筛选,提高救治成功率。

Objective To explore and study the value of plasma D-dimer concentration in patients with aortic dissection. Methods The clinical data of 126 patients with acute aortic dissection(AAD)and 538 patients with acute myocardial infarction(AMI)were retrospectively analyzed. The expression of D-dimer in plasma was analyzed. Results The concentration of D-dimer in AAD group was(10366.91±945.93)μg/L,significantly higher than(3 768.56±478.29)μg/L in AMI group(P<0.05). Conclusion Plasma D-dimer concentration is of great value in the early diagnosis of aortic dissection and has high sensitivity.It can assist emergency doctors in screening suspected patients with aortic dissection and improve the success rate of treatment.