浙江医学Issue(8)：645-646,660,3.
严重创伤患者D-二聚体水平的变化及意义
Plasma D-dimmer levels in patients with severe trauma and its clinical significance
何革 1吴川峰 2陈春悦1
作者信息
- 1. 310003 杭州，浙江省中西医结合医院外科，中心实验室
- 2. 浙江中医药大学第二临床学院
- 折叠
摘要
Abstract
Objective To evaluate the clinical significance of plasma D-dimmer levels in patients with severe trauma. Methods Four hundred and eleven patients with severe trauma (trauma group) and 400 healthy subjects (control group) were in-cluded in this study. The plasma D-dimmer levels were measured by col oidal gold immune infiltration method in controls and in trauma patients at 24 and 96h after surgery respectively. Results The D-dimmer positive rate and plasma levels at 24 and 96h after surgery in trauma patients were significantly higher than those of normal controls (P<0.01). Traumatic deep vein thrombosis (TDVT) developed in 38 patients (9.2%), whose 24 and 96 h D-dimmer levels were significantly higher than that of control group (both P<0.01) and 373 trauma patients without TDVT developed (P<0.05 or 0.01). The rate of high D-dimmer levels at 24h in TDVT patients was significantly higher than that in non-TDVT trauma patients (65.8%, 1.9%, P<0.01). Conclusion High plasma D-dimmer level may indicate the development of traumatic deep vein thrombosis in patients with severe trauma.关键词
创伤/创伤性深静脉血栓/D-二聚体Key words
Trauma/Traumatic deep venous thrombosis/D-dimmer引用本文复制引用
何革,吴川峰,陈春悦..严重创伤患者D-二聚体水平的变化及意义[J].浙江医学,2013,(8):645-646,660,3.
