摘要
目的：研究D-二聚体阴性肺栓塞患者的临床特征。方法：采用回顾性分析,选取我院自2006年12月-2012年12月以来的86例可疑性肺栓塞患者,使用全自动免疫分析系统（VIDAS）D-二聚体测定法来对这些可以行肺栓塞患者进行检测,同时对这些患者进行半年的随访,了解是否有肺栓塞的症状。结果：在86例的可疑性肺栓塞患者中,有16例患者的D-二聚体检测值〈0.5ug/ml,70例患者的D-二聚体检测值＞0.5ug/ml,其中有31例患者通过核素肺通气及肺灌注扫描（V/Q）证实为肺栓塞,阳性率为36.05%。结论：D-二聚体测定应该与临床表现等相结合起来,采用核素肺通气及肺灌注扫描（V/Q）进行检查,能够减少误诊或者漏诊。
Objective：To study the clinical features of D-two dimer negative patients with pulmonary embolism. Methods：A retrospective analysis of our hospital from December 2006-December 2012 since 86 cases of suspected pulmonary embolism in patients,using automated immunoassay system （VIDAS） two D-dimer assay to these can patients with pulmonary embolism were detected, at the same time, the first half of the follow-up of these patients, to understand whether have the symptoms of pulmonary embolism.Results：In 86 patients with suspected pulmonary embolism in 16 patients, two D- dimer detection value 〈0.5ug/ml, 70 patients with two D- dimer detection value 〉 0.5ug/ml, among them 31 patients by radionuclide pulmonary ventilation and perfusion lung scanning （V/Q） evidence of pulmonary embolism, the positive rate was 36.05%.Conclusion：D-two dimers determination should be combined with clinical manifestations, radionuclide pulmonary ventilation and perfusion lung scan （V/Q） were examined, to reduce the misdiagnosis or missed diagnosis.
出处
《中国医药导刊》
2014年第1期162-162,164,共2页
Chinese Journal of Medicinal Guide
关键词
D-二聚体
阴性肺栓塞
临床特征
D-two dimer
Negative pulmonary embolism
Clinical characteristics
