D-二聚体测定在下肢深静脉血栓诊断中的临床价值
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吴梦涛

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Clinical value of D-dimer testing in diagnosis of patients with deep vein thrombosis of the lower extremity
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    摘要:

    目的:探讨D-二聚体(DD)测定在下肢深静脉血栓形成(DVT)诊断中的临床价值。方法:回顾分析106例DVT患者DD值在不同的发病时间和临床分型的变化,并与99例下肢深静脉瓣膜功能不全(PDVI)患者DD值进行比较。结果:DVT患者DD值在急性期内含量较高,陈旧性血栓随时间而逐步降低,而无血栓者呈阴性;周围型DVT阳性率高达85.7%。结论:DD可作为急性DVT诊断、预测及预后判断方法之一,尤其对周围型DVT诊断更适合。

    Abstract:

    Abstract:Objective:To discuss the clinical value of D-dimer(DD) testing in diagnosis of patients with deep vein thrombosis(DVT) of the lower extremity. Methods:An analysis retrospectively was made on the changes of DD testing in 106 cases of DVT at different periods after onset and different clinical stages of DVT, and DD testing in 99 patients with primary deep venous insufficiency(PDVI) as control group. Results:DD was higher in the acute stage of DVT, and gradually decreased with time in chronic DVT, and was negative in the patients with PDVI; the positive rate was up to 85.7% in the distal DVT. Conclusions:The DD testing can be used as one of the methods for diagnosis, prediction and prognosis of acute DVT,especially for diagnosis of distal DVT.

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吴梦涛,金星,徐良,范西红. D-二聚体测定在下肢深静脉血栓诊断中的临床价值[J].中国普通外科杂志,2006,15(5):14-372.
DOI:10.7659/j. issn.1005-6947.2006.05.014

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  • 在线发布日期: 2006-05-25