摘要
目的探讨D-二聚体对开胸手术后并发肺栓塞的诊断价值。方法回顾性分析35例胸科手术病人术前术后D-二聚体检测结果,复习相关资料,对D-二聚体在胸外科手术后病人合并肺栓塞应用价值进行评价。结果 35例胸外科术后的病人血浆D-二聚体普遍升高,19例检测值>494μg/L,其中仅一例通过肺血管造影证实为肺栓塞。结论 D-二聚体的检测对胸科手术后病人肺栓塞的诊断在于阴性结果的意义较大,可100％地排除肺栓塞;阳性结果对肺栓塞的诊断特异性较低。
Objective： To evaluate the D-dimer testing for excluding diagnosis of pulmonary embolism in posthoracotomy. Methods The date of 35 patients undergone thoracotomy were ＂analyzed respectively to evalute the clinical value of D- dimer examination for pulmonay embolism after operation. Results The D-dimer levels of 19 cases were 〉 494μg/L, of which one of patients was confirmed pulmonary embolism by lung scan result. The test showed the negative predictive value of D dimer for pulmonay embolism was 100 %. Conclusion D-dimer isa good diagnostic index for the exclusion pulmonary embolism, while the specificity is lower in posthoracotomy.
出处
《泰山医学院学报》
CAS
2005年第6期560-561,共2页
Journal of Taishan Medical College
