本文選題：D-二聚體　切入點：即時檢驗　出處：《山東醫(yī)藥》2017年46期 　論文類型：期刊論文

【摘要】：目的評估床旁即時血漿D-二聚體(D-D)檢測對急性心肌梗死(AMI)患者危險程度的早期評估價值。方法收集223例就診于急診并診斷為AMI患者的相關臨床資料,記錄AMI患者28 d內發(fā)生死亡例數(shù),分析D-D對AMI患者28 d內死亡的預測價值。結果 223例AMI患者床旁即時血漿D-D水平為(420.32±119.65)ng/m L,其中≥600 ng/m L者51例、60 0ng/m L者172例。二者院前時間、高血壓和(或)血脂異常、冠心病或陳舊心梗、糖尿病、肌鈣蛋白I、急診PCI比較差異無統(tǒng)計學意義,性別、年齡、吸煙史、其他合并癥、N末端前腦鈉肽、PCI結果(單支病變)比較差異有統(tǒng)計學意義(P均0.05)。不同床旁即時血漿D-D水平AMI患者28 d內死亡病因比較,差異均無統(tǒng)計學意義。將數(shù)據(jù)進行Logistic回歸分析,結果顯示D-二聚體對急性心肌梗死患者28 d內死亡無預測價值(P均0.05)。結論單獨檢測床旁即時血漿D-D對AMI患者危險程度的早期評估價值有限,聯(lián)合檢測可能會成為有價值預測因子之一。
[Abstract]:Objective to evaluate the early evaluation value of immediate plasma D-D detection in patients with acute myocardial infarction (AMI). Methods the clinical data of 223 patients with acute myocardial infarction (AMI) who were diagnosed as AMI were collected. The death rate of AMI patients within 28 days was recorded, and the predictive value of D-D in AMI patients within 28 days was analyzed. Results the immediate plasma D-D levels of 223 patients with AMI were 420.32 鹵119.65 ng / mL, of which 51 patients with 鈮，

本文編號：1613092