血浆D二聚体的测定在排除肺栓塞诊断中的临床意义
肺栓塞;D二聚体;酶联免疫吸附反应,,],肺栓塞;D二聚体;酶联免疫吸附反应,1对象与方法,2结果,3讨论,参考文献:
[摘 要] 目的:探讨D二聚体(Ddimer,DD)在排除肺栓塞诊断中的临床价值。方法:使用ELISA法对可疑肺栓塞患者血浆中纤维蛋白降解产物DD进行检测,并对这些可疑肺栓塞患者进行半年的随访,了解是否有肺栓塞或深静脉栓塞的症状。结果:共有102例患者参加检测,42例患者(41.1%)的DD检测值<500 μg/L,60例患者血浆中的DD检测值>500 μg/L,其中有11例患者通过肺通气灌注扫描(V/Q)证实为肺栓塞。ELISA DD法的敏感性为100%,阴性预期值为100%。结论:DD检测方法简便易行,设备要求不高,可作为排除肺栓塞的首选试验,易在临床诊断中推广使用。[关键词] 肺栓塞;D二聚体;酶联免疫吸附反应
The Clinical Significance of Plasma Ddimer Detection in the Diagnosis of Excluding Pulmonary Embolism
DONG huaiping,LI Qingmin
(Liaocheng People's Hospital,Liaocheng, Shandong 252000,China)
Abstract:Objective The aim of this study is to evaluate the value of the plasma Ddimer detection in the diagnosis of excluding pulmonary embolism.Methods Ddimer levels were determined by enzymelinked immunoabsorbent assay (ELISA) in patient with suspicion of pulmonary embolism ......
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