论文部分内容阅读
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 investigate the value of D-dimer (D-D) in the diagnosis of acute aortic dissection (AAD), which is a rapid and simple method for the diagnosis of acute aortic dissection. Methods: A retrospective study of 32 cases of aortic dissection confirmed by high-resolution imaging as the experimental group, the same period of the initial diagnosis of suspected aortic dissection and finally excluded 30 cases of the control group. Both groups received plasma D-D and high-resolution arterial imaging and compared D-D values between the two groups. Results: The plasma DD value in the main mezzanysia group was significantly higher than that in the control group, and there was a significant difference in DD level between the two groups (P <0.05). Statistical differences in AD subgroups suggested that DD value could be used as the degree of dissection And prognosis of the disease indicators. Conclusion: The detection of plasma D-dimer is highly sensitive and accurate for the diagnosis of aortic dissection, the degree of intima avulsion and the prognosis of the disease. It can be used as a simple and rapid diagnostic method for AD diagnosis in emergency.