血清D-二聚体的升高与DIC诊断的关系  

Relationship of serum d-dimer and diagnosis of DIC

作　　者：汪领[1] 胡正义[1] 王伟[1] 庞玉玲[1] 郭琪[1] 

机构地区：[1]河南省胸科医院检验科,郑州450000

出　　处：《中国实用医刊》2015年第20期67-68,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨血清D-二聚体（ D-D）与弥散性血管内凝血（ DIC）诊断的关系。方法100例DIC患者根据临床确诊DIC分为肺癌DIC组和急性心肌梗死DIC组（急性心梗DIC组）,每组50例,另选正常同年龄组健康体检者作为正常对照组,测定各组血清D-二聚体（ D-D）水平。结果肺癌DIC组血浆纤维蛋白降解产物（ FDP）〈6 mg/L,血清D-D水平升高（阳性）,急性心梗DIC组血浆FDP〈15 mg/L,血清D-D水平升高（阳性）8倍以上。结论 DIC患者血清D-二聚体的升高与DIC的关系密切。Objective To study the relationship of serum d-dimer （ D-D） with diagnosis of disseminated intravas-cular coagulation（DIC）. Methods One hundred patients with DIC were divided into lung cancer DIC group （50 cases） and AMI DIC group （50 cases）, the normal physical examination for the same age group as a normal control group. The level of serum d-dimer in each group （ D-D） was detected. Results FDP＆gt;6 mg/L in lung cancer DIC group, serum D-D levels （ masculine） elevated, FDP＆gt;15 mg/L in patients with AMI DIC, serum D-D levels （ masculine） elevated for more than 8 times. Conclusions Elevated serum d-dimer in patients with DIC is correlated with diagnosis of DIC.

关 键 词：血浆纤维蛋白降解产物 血清D-二聚体 弥散性血管内凝血 

分 类 号：R733.710.4[医药卫生—肿瘤]