临床肺科杂志
臨床肺科雜誌
림상폐과잡지
Journal of Clinical Pulmonary Medicine
2015年
10期
1827-1829
,共3页
D-二聚体水平%C-反应蛋白%社区获得性肺炎
D-二聚體水平%C-反應蛋白%社區穫得性肺炎
D-이취체수평%C-반응단백%사구획득성폐염
D-dimer level%C-reactive protein%community-acquired pneumonia
目的 研究血D-二聚体水平与社区获得性肺炎( CAP)患者死亡率的相关性,以探讨其在CAP患者死亡中的临床价值. 方法 将我院治疗的77例CAP患者根据入院时病情分为普通CAP组和高危CAP组,住院后根据存活情况分为存活组和死亡组,分别检测各组患者的血CRP和D-二聚体水平,并进行相关性分析研究. 结果 高危CAP组患者的血CRP和D-二聚体水平分别为(1043. 50 ± 148. 24)μg/L、(83. 25 ± 21. 14)μg/L,均显著高于普通CAP组患者,P<0. 05;存活组患者的血CRP和D-二聚体水平(574. 31 ± 68. 45)μg/L、(63. 48 ± 17. 32)μg/L,死亡组患者的血CRP水平(1358. 74 ± 242. 49)μg/L、(102. 53 ± 24. 72)μg/L,差异具有显著性,P<0. 05. 结论 血D-二聚体与CAP患者死亡密切相关,可作为评价CAP死亡风险的临床指标.
目的 研究血D-二聚體水平與社區穫得性肺炎( CAP)患者死亡率的相關性,以探討其在CAP患者死亡中的臨床價值. 方法 將我院治療的77例CAP患者根據入院時病情分為普通CAP組和高危CAP組,住院後根據存活情況分為存活組和死亡組,分彆檢測各組患者的血CRP和D-二聚體水平,併進行相關性分析研究. 結果 高危CAP組患者的血CRP和D-二聚體水平分彆為(1043. 50 ± 148. 24)μg/L、(83. 25 ± 21. 14)μg/L,均顯著高于普通CAP組患者,P<0. 05;存活組患者的血CRP和D-二聚體水平(574. 31 ± 68. 45)μg/L、(63. 48 ± 17. 32)μg/L,死亡組患者的血CRP水平(1358. 74 ± 242. 49)μg/L、(102. 53 ± 24. 72)μg/L,差異具有顯著性,P<0. 05. 結論 血D-二聚體與CAP患者死亡密切相關,可作為評價CAP死亡風險的臨床指標.
목적 연구혈D-이취체수평여사구획득성폐염( CAP)환자사망솔적상관성,이탐토기재CAP환자사망중적림상개치. 방법 장아원치료적77례CAP환자근거입원시병정분위보통CAP조화고위CAP조,주원후근거존활정황분위존활조화사망조,분별검측각조환자적혈CRP화D-이취체수평,병진행상관성분석연구. 결과 고위CAP조환자적혈CRP화D-이취체수평분별위(1043. 50 ± 148. 24)μg/L、(83. 25 ± 21. 14)μg/L,균현저고우보통CAP조환자,P<0. 05;존활조환자적혈CRP화D-이취체수평(574. 31 ± 68. 45)μg/L、(63. 48 ± 17. 32)μg/L,사망조환자적혈CRP수평(1358. 74 ± 242. 49)μg/L、(102. 53 ± 24. 72)μg/L,차이구유현저성,P<0. 05. 결론 혈D-이취체여CAP환자사망밀절상관,가작위평개CAP사망풍험적림상지표.
Objective To study the correlation between blood D-dimer level and mortality of community-ac-quired pneumonia ( CAP) , in order to explore its clinical value in patients with CAP. Methods 77 CAP patients were divided into the high-risk group and the low-risk group, and then they were divided into the survival group and the death group based on their prognosis after admission. Their blood CRP and D-dimer levels and correlation were analyzed. Results The levels of serum CRP and D-dimer were (1043. 50 ± 148. 24) μg/L and (83. 25 ± 21. 14)μg/L in the high-risk group, which were significantly higher than those of the low-risk group (P<0. 05). The levels of serum CRP and D-dimer were (574. 31 ± 68. 45) μg/L and (63. 48 ± 17. 32) μg/L in the survival group, and (1358. 74 ± 242. 49) μg/L and (102. 53 ± 24. 72) μg/L in the death group (P<0. 05). Conclusion The level of blood D-dimer is closely related with the death of patients with CAP, which can be used as a clinical evaluation of CAP index.
