急性创伤患者血浆D-二聚体检测分析  

Detection and analysis D-dimer of plasma in patients with acute trauma

作　　者：高飞宇[1] 支满霞[1] 

机构地区：[1]中国中医科学院望京医院麻醉科,北京100102

出　　处：《医学信息（内.外科版）》2009年第11期974-975,共2页Medical Information Operations Sciences Fascicule

摘　　要：目的通过检测分析急性创伤患者血浆D-二聚体(D-dimer,DD),探讨其对临床麻醉工作的意义。方法急性创伤患者52例,其中老龄(≥65岁)30例,<65岁22例,入院48h内进行DD测定。健康人26例,其中≥65岁15例,<65岁11例,进行DD测定。结果急性创伤组和正常对照组比较,χ2值=11.791,P=0.001。两组阳性率差异有统计学意义。急性创伤组阳性率明显高于正常对照组。两年龄段比较,χ2值=8.716,P=0.003。两年龄段阳性率差异有统计学意义。≥65岁年龄段阳性率明显高于<65岁年龄段。结论急性创伤和老龄是影响DD检测阳性率的相关因素,在临床麻醉工作中需注意血栓并发症,积极采取预防措施。Objective To detect D - dimer of the plasma of patients with acute trauma, to explore the significance of the work of clinical anesthesia. Methods Fifty - two cases of acute trauma patients, including elder age （ ≥ 65 years） 30 cases and less than 65 years old 22 cases, admitted within 48 h measured DD. 26 cases of healthy people,of which ≥ 65 years in 15 cases,65 - year - old in 11 cases, determined to DD. Patients with acute trauma of different ages compare with different age groups healthy people. Results patients with acute trauma and mean DD levels compared with the control group, the difference was significant （P 〈 0.05）. Conclusions Acute trauma is important factor of affecting the DD test positive rate of in clinical anesthesia work, should pay attention to thrombotic complications, and take preventive measures actively.

关 键 词：D一二聚体 急性创伤 老龄 麻醉 

分 类 号：R614[医药卫生—麻醉学]