成功诊断1例D-二聚体阴性非高危主动脉夹层病例的思考

Thinking about Successful Diagnosis of a Case of D-Dimer Negative Non-High-Risk Aortic Dissection

目的:通过病例报道认识D-二聚体阴性的非高危主动脉夹层病例的诊断策略。方法:回顾分析1例D-二聚体阴性的非高危主动脉夹层病例,分析D-二聚体阴性的常见原因,总结主动脉夹层诊断流程中的经验和诊治策略。结果:应用临床思维和诊断流程,明确诊断D-二聚体阴性的非高危主动脉夹层,挽救了病人生命。结论:重新审视D-二聚体在主动脉夹层中的诊断价值,强调首先除外威胁生命病症的思维原则,避免误诊和漏诊。

Objective: To understand the diagnosis strategy of non-high-risk aortic dissection cases with negative D-dimer through case reports. Methods: A case of non-high-risk aortic dissection with negative D-dimer was retrospectively analyzed, the common causes of negative D-dimer were analyzed, and the experience and diagnosis and treatment strategies in the diagnosis process of aortic dissection were summarized. Results: Using clinical thinking and diagnostic procedures, the diagnosis of non-high-risk aortic dissection with negative D-dimer was clearly identified, saving the patient's life. Conclusion: Re-examine the diagnostic value of D-dimer in aortic dissection, emphasizing the principle of first excluding the life-threatening diseases and avoiding misdiagnosis and missed diagnosis.