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目的:探讨血浆D-二聚体(D-Dimer)检测在消化内科以腹痛为首发症状就诊的老年患者中的诊断意义,为消化内科临床医生尤其是基层医务工作者快速诊断血管性疾病导致的腹痛症状提供理论依据和指导,减少误诊或漏诊率。方法:选取2015-01-2016-10在我院消化内科门诊及病房以腹痛症状就诊的老年患者873例,其中筛选出经血管造影检查确诊为心肌梗死、肠系膜栓塞、肺栓塞、动脉夹层等非消化科急症病例94例,对其血浆D-Dimer水平值进行统计学分析。结果:83例心肌梗死、肠系膜血管栓塞、肺栓塞、动脉夹层等患者的D-Dimer水平值均>4mg/L。结论:血浆D-Dimer可作为消化内科老年患者诊断血管性疾病导致腹痛为首发症状的特异性指标之一。
Objective: To investigate the diagnostic significance of plasma D-dimer in elderly patients with abdominal pain as the first symptom in gastroenterology, and to rapidly diagnose vascular diseases by gastroenterology clinicians, especially primary medical workers Abdominal pain symptoms provide a theoretical basis and guidance to reduce the misdiagnosis or missed diagnosis rate. Methods: A total of 873 elderly patients with abdominal pain were selected from the Department of Gastroenterology Outpatient and ward of our hospital from January 2015 to June 2016. Among them, 873 cases were diagnosed as myocardial infarction, mesenteric embolism, pulmonary embolism and arterial dissection by angiography Ninety-four patients with acute gastroenterology were enrolled and their plasma D-Dimer levels were statistically analyzed. Results: The D-Dimer levels in 83 patients with myocardial infarction, mesenteric vessel embolism, pulmonary embolism and arterial dissection were all> 4mg / L. Conclusions: Plasma D-Dimer can be used as one of the specific indexes for the diagnosis of vascular disease in elderly patients with digestive diseases.