论文部分内容阅读
目的认识D-二聚体阴性并不能排除所有肺栓塞(PE),减少该病误诊率。方法回顾分析北京市第六医院确诊的PE患者中初诊时D-二聚体阴性的患者10例,记录并分析危险因素、临床表现、辅助检查及治疗、预后等。结果本组PE患者诊断周期长(平均确诊时间为24.2d),容易漏诊、误诊。病程长、曾使用抗凝药以及某些急性PE患者初诊时D-二聚体可能为阴性。结论首次D-二聚体阴性并不能完全排除所有PE诊断。
Objective To recognize that D-dimer is negative and can not rule out all pulmonary embolism (PE), reduce the misdiagnosis rate of the disease. Methods A retrospective analysis of 10 cases of D-dimer-negative patients newly diagnosed in Peking Sixth Hospital was conducted. The risk factors, clinical manifestations, auxiliary examination, treatment and prognosis were recorded and analyzed. Results The diagnosis of PE patients with long cycle (the average diagnosis of time was 24.2d), easily missed diagnosis, misdiagnosis. Long course of the disease, once used anticoagulants and some acute PE patients newly diagnosed D-dimer may be negative. Conclusions The first D-dimer was negative and did not completely rule out all PE diagnosis.