CAJ | 학술논문

目的：探讨床旁胸片检查结合血浆 D-二聚体(D-dimer,DD)测定肺动脉栓塞(pulmonary embolism,PE)的应用价值。方法：对16例临床可疑PE患者进行床旁胸片检查结合血浆DD测定，以临床诊断为依据，分别评价床旁胸片、DD测定以及床旁胸片检查结合血浆DD测定对PE诊断价值。结果：床旁胸片Westermark征6例(37.5%)，肺动脉高压6例(37.5%)(其中2种表现交叉者3例)，肺炎样改变2例(12.5%)，胸腔积液2例(12.5%)，3例(18.75%)未见明显异常X线征象；DD测定全部阳性(16例)，阳性率100%。结论：床旁胸片检查结合血浆D-二聚体测定是对PE较为准确而又迅速的诊断方法，并对疗效判定有重要价值。
목적：탐토상방흉편검사결합혈장 D-이취체(D-dimer,DD)측정폐동맥전새(pulmonary embolism,PE)적응용개치。방법：대16례림상가의PE환자진행상방흉편검사결합혈장DD측정，이림상진단위의거，분별평개상방흉편、DD측정이급상방흉편검사결합혈장DD측정대PE진단개치。결과：상방흉편Westermark정6례(37.5%)，폐동맥고압6례(37.5%)(기중2충표현교차자3례)，폐염양개변2례(12.5%)，흉강적액2례(12.5%)，3례(18.75%)미견명현이상X선정상；DD측정전부양성(16례)，양성솔100%。결론：상방흉편검사결합혈장D-이취체측정시대PE교위준학이우신속적진단방법，병대료효판정유중요개치。
Objective:To explore diagnostic value of bedside chest X-ray and plasma D-dimer (DD) determi-nation in the diagnosis of pulmonary embolism (PE). Methods:All 16 patients received bedside chest X-ray and plasma DD determination, taking clinical diagnosis as the evidence, the values of bedside chest X-ray, DD determi-nation, the combination of both in the diagnosis of PE were respectively assessed as well as clinical effects in the treatment for thrombosis. Results:There were six cases of Westermark signs showed in bedside chest X-ray (37.5%), six cases of pulmonary artery hypertension (PAH) (37.5%) (There were three cases manifesting both of the signs), two cases with pneumonia-like changes (12.5%), two cases of pleural effusion (12.5%) and three cases without the appearance of obvious abnormal X-ray signs (18.75%);the results of DD determination were all positive (16 cases), positive rate 100%. Conclusion:Bedside chest X-ray and plasma DD determination are accurate and rapid diagnostic methods for pulmonary embolism, which shows important values in the assessment of clinical effects.