西南国防医药2012，Vol.22Issue(5)：503-505,3.DOI:10.3969/j.issn.1004-0188.2012.05.012
D-二聚体测定联合临床评分对急性肺栓塞的诊断价值
Value of D - dimer testing combined with clinical scoring in diagnosis of acute pulmonary embolism
徐轶俊1
作者信息
- 1. 511400,广东,番禺,广东省广州市番禺中心医院呼吸内科
- 折叠
摘要
Abstract
Objective To evaluate the value of D - dimer testing combined with clinical scoring in the diagnosis of acute pulmonary embolism( APE ). Methods Seventy four patients diagnosed as APE by CT arteriography of pulmonary arteries were chosen as observation group, and 74 ones without APE were chosen as control group. Both of the two groups received D - dimer testing and clinical scoring modified Geneva scoring). Results In the observation group, after active treatment, 21 ones among the 23 patients with large area of APE were cured,and 2 ones died with the case fatality rate of 8. 69%. Fifty one patients with non - large area of APE were all cured,and no death occurred. The Geneva scores of 74 patients with APE were as follow:0 - 3 scores in 4 cases( 5.40% ),4 -10 scores in 50 cases(67.57% )and more than or equal to 11 scores in 20 cases(27.03% ).The Geneva scores and plasma D- dimer level of the observation group were significantly higher than those of the control group( P < 0. 01 ). Conclusion D - dimer testing combined with modified Geneva scoring has great clinical significance in the final diagnosis of patients suspected of APE.关键词
肺栓塞/D-二聚体/Geneva评分/诊断Key words
pulmonary embolism/D - dimer/ Geneva score/ diagnosis分类
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徐轶俊..D-二聚体测定联合临床评分对急性肺栓塞的诊断价值[J].西南国防医药,2012,22(5):503-505,3.
