摘要
目的:探讨急性血栓性疾病的临床特点以及与血浆D-二聚体(DD)的关系。方法:回顾性分析62例急性血栓性疾病患者的临床资料,分析其第1天、第3天、第7天及第14天血浆D-二聚体的变化。结果:62例急性血栓性疾病患者中男女比例1.70∶1,年龄在70岁以上者为血栓性疾病的高发人群,冬季发病率较高。血栓性患者在急性期第1天、第3天DD检测阳性率为83.87%、83.87%,且大部分患者DD质量浓度≥500μg.L-1和≥1 000μg.L-1;第7天检测阳性率为80.65%,大部分患者DD质量浓度在200～1 000μg.L-1之间;在第14天DD检测阳性率为74.19%,DD质量浓度<200μg.L-1的患者明显增多。结论:在血栓性疾病的急性期,DD可以作为血栓形成的直接而实用的指标,而且能显示疾病演变的动态,为急性血栓性疾病的有效治疗提供可靠依据。
Objective： To investigate the the relationship between clinical features of acute thrombotic diseases and plasma D-dimer （DD）. Methods ： Make a retrospective analysis of the plasma D-dimer change of 62 patients with acute thrombotic disease in 3 days,7 days and 14 days. Results ：The male to female ratio was 1.70 ： 1 in 62 patients. People over 70 years old were the high-risk population and winter had a higher incidence. The DD testing positive rate was 83.87% and 83.87% in the acute phase of thrombotic patients at the first day, three days and the majority of patients had DD concentration 500 μrg . L-1 and 1000 μg . L-1. 7 days testing positive rate was 80.65% with DD concentration in the majority patients in 200 - 1 000 μg. L-1. 14 days testing positive rate was 74.19% with DD 〈 200 μg - L-1 significantly increased. Conclusions：DD can be used as the direct and practical indicators and shows the evolution of diseases in the acute phase of thrombotic diseases to provide a reliable basis for the effective treatment.
出处
《中医学报》
CAS
2013年第9期1404-1406,共3页
Acta Chinese Medicine
关键词
急性血栓性疾病
D-二聚体
动脉血栓
静脉血栓
脑梗死
心肌梗死
acute thrombotic diseases
D-dimer
arterial thrombus
phlebothrombosis
cerebral infarction
myocardial infarction
