摘要
目的:探讨D-二聚体(D-D)可作为一种快速、简便筛查急诊主动脉夹层(AD)的方法,分析血D-二聚体检测在急诊主动脉夹层诊断中的价值。方法:回顾性研究32例经高分辨率影像学确诊的主动脉夹层病例作为实验组,选择同一时期初诊疑似主动脉夹层而最终排除的30例患者为对照组。两组患者均接受了血浆D-D检测和高分辨率动脉成像检查,比较2组间D-D值差异。结果:主夹层组血浆D-D值明显高于对照组,2组间血D-D值水平差异有统计学意义(P<0.05);AD亚组间统计学差异提示D-D值可作为AD患者夹层撕脱程度及病情预后的指标。结论:血浆D-二聚体检测对于主动脉夹层诊断,血管内膜撕脱程度及病情预后具有高度的敏感性和准确性,可作为一种简便、快速的急诊AD诊断筛查方法。
Objective：To study the application of D-dimeride examination as a fast and convenient method to screen aortic dissection, and to analyze the value of D-dimeride examination in the diagnosis and treatment of AD. Method：32 cases of aortic dissection that were definitely diagnosed by high resolution imaging were retrospectively studied as experimental group. 30 cases of suspected AD patients that were excluded at last were selected as con- trols. The plasma D-D examination and high resolution iconography were performed and analyzed in both of the two groups. Result：The plasma D-D value of experimental group was significant higher than that of the control group, （P〈0. 05）. The statistical disparity of AD subgroup demonstrates that the D-D value may be used as a prognostic index to evaluate the severity and prognosis of AD. Conclusion： The plasma D-demeride examination is able to diagnose AD acutely and accurately, which can be used as a fast and convenient method to screen aortic dis- section.
出处
《临床急诊杂志》
CAS
2012年第5期328-329,共2页
Journal of Clinical Emergency
