中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2015年
2期
47-48
,共2页
急性血栓性疾病%临床特点%DD
急性血栓性疾病%臨床特點%DD
급성혈전성질병%림상특점%DD
Acute thrombotic disease%Clinical characteristics%DD
目的：探讨急性血栓性疾病的临床特点以及与血浆D-二聚体（DD）的关系。方法对60例急性血栓性疾病患者的临床治疗进行回顾性分析，对患者第1天、第3天、第7天以及第14天的血浆DD变化进行分析。结果全部患者中，男女比例为1.73：1，血栓性疾病的高发人群为70岁以上人群，而且冬天的发病率较高。血栓性疾病患者在急性期第1天、第3天的DD检测阳性率均为为83.3%，大部分患者的DD质量浓度为≥500μg/l和≥1000μg/l；在第七天DD检测阳性率为81.7%，大部分患者的DD质量浓度为200～1000μg/l；而在第14天，患者DD检测阳性率为73.3%，DD质量浓度＜200μg/l的患者开始显著上升。结论在急性血栓性疾病中，DD可以看成是血栓形成的直接指标，能对疾病的演变进行动态显示，能为急性血栓性疾病的治疗提供科学和可靠的依据。
目的：探討急性血栓性疾病的臨床特點以及與血漿D-二聚體（DD）的關繫。方法對60例急性血栓性疾病患者的臨床治療進行迴顧性分析，對患者第1天、第3天、第7天以及第14天的血漿DD變化進行分析。結果全部患者中，男女比例為1.73：1，血栓性疾病的高髮人群為70歲以上人群，而且鼕天的髮病率較高。血栓性疾病患者在急性期第1天、第3天的DD檢測暘性率均為為83.3%，大部分患者的DD質量濃度為≥500μg/l和≥1000μg/l；在第七天DD檢測暘性率為81.7%，大部分患者的DD質量濃度為200～1000μg/l；而在第14天，患者DD檢測暘性率為73.3%，DD質量濃度＜200μg/l的患者開始顯著上升。結論在急性血栓性疾病中，DD可以看成是血栓形成的直接指標，能對疾病的縯變進行動態顯示，能為急性血栓性疾病的治療提供科學和可靠的依據。
목적：탐토급성혈전성질병적림상특점이급여혈장D-이취체（DD）적관계。방법대60례급성혈전성질병환자적림상치료진행회고성분석，대환자제1천、제3천、제7천이급제14천적혈장DD변화진행분석。결과전부환자중，남녀비례위1.73：1，혈전성질병적고발인군위70세이상인군，이차동천적발병솔교고。혈전성질병환자재급성기제1천、제3천적DD검측양성솔균위위83.3%，대부분환자적DD질량농도위≥500μg/l화≥1000μg/l；재제칠천DD검측양성솔위81.7%，대부분환자적DD질량농도위200～1000μg/l；이재제14천，환자DD검측양성솔위73.3%，DD질량농도＜200μg/l적환자개시현저상승。결론재급성혈전성질병중，DD가이간성시혈전형성적직접지표，능대질병적연변진행동태현시，능위급성혈전성질병적치료제공과학화가고적의거。
Objective To investigate the clinical characteristics of acute thrombotic diseases , the relationship between these diseases and plasma D-dimer (DD). Methods The clinical treatment of 60 cases of patients with acute thrombotic diseases was retrospectively analyzed, the plasma DD changes were analysed. In the ifrst day, the third day, the seventh day and the fourteenth day. Results All patients, the ratio of male to female was 1.73:1, the high risk population of thrombotic disease was the ones who were older than 70 years old, and the winter had higher disease incidence rate . Patients with thrombotic diseases the positive rate of DD detection in the ifrst day,and third day was 83.3%, most of the patients of DD mass concentration was more than 500 g/l and above 1000 g/l, the positive rate of DD in the seventh day was 81.7%, the majority of patients with DD mass concentration was 200-1000 Mu g/l, and in the fourteenth day. The positive rate of DD detection in patients was 73.3%, patients who’DD concentration was less than 200 g/l, began to rise signiifcantly. Conclusion In the acute thrombotic diseases, DD could be considered as the direct indicator of thrombus formation, evolution of the disease could be displayed dynamically, providing scientiifc and reliable basis for the treatment of acute thrombotic diseases.
