D-二聚体和白细胞计数在急性肠系膜血管闭塞中的应用价值  

Application Value of D-dimer and White Blood Cell Count in Acute Mesenteric Vascularization

作　　者：海翔 

机构地区：[1]北京医科大学第三附属医院海淀医院急诊内科,北京100000

出　　处：《中外医疗》2017年第23期28-30,共3页China & Foreign Medical Treatment

摘　　要：目的研究D-二聚体和白细胞计数在急性肠系膜血管闭塞中的应用价值。方法方便选择该院2012年4月—2017年4月收入的急性肠系膜血管闭塞患者80例,对其临床资料进行回顾性分析,依据病情不同分为动脉栓塞组(A组,n=32)、动脉血栓形成组(B组,n=25)、静脉血栓形成组(C组,n=23)。比较3组患者病程以及入院即刻的静脉血D-二聚体和白细胞计数水平。结果 A、B、C 3组病程(h)以及入院即刻的D-dimer(μg/m L)、N(%)水平水平分别为[(40.23±28.58)h;(2.39±1.93)μg/m L;(0.91±0.09)%]、[(65.37±47.14)h;(2.09±1.07)μg/m L;0.76±0.18)%]、[(152.07±62.03)h;(10.43±6.92)μg/m L;(0.71±0.17)%],3组差异有统计学意义(F=32.752、15.271、5.679,P<0.05);A、B、C 3组中,D-dimer水平低于3.0μg/m L的患者占比分别为24例(75.00%)、21例(84.00%)、5例(21.74%),3组组间差异有统计学意义(χ~2=23.427,P<0.05),其中以B组占比最大。A、B两组D-dimer分段水平占比差异无统计学意义(P>0.05),C组D-dimer分段水平占比显著低于A组或者B组,差异有统计学意义(P<0.05)。结论 D-dimer、WBC以及N%三项指标有助于临床工作者对AMVO的筛查、诊断,以及不同AMVO分型的诊断,且该筛查诊断项目快速、易操作,能够迅速帮助筛查、诊断AMVO,提高医疗效率,值得临床大力推广。Objective This paper tries to study the application value of D-dimer and white blood cell count in acute mesenteric vasculature. Methods Convenient selection 80 cases of patients with acute mesenteric vascular occlusion from April 2012 to April 2017 were selected and their clinical data were retrospectively analyzed, and divided into artery embolization group（group A, n=32） and arterial thrombosis group（group B, n=25）, venous thrombosis group（group C, n =23）according to the different state of illness. The hospitalized immediate blood plasma D-dimer and white blood cell count of the three groups were compared. Results The course of disease（h）, the immediate D-dimer（μg/m L）, N（%） level of the three groups were[（40.23±28.58）h,（2.39 ±1.93）μg/L,（0.91±0.09）% ], [（65.37 ±47.14）h,（2.09 ±1.07）μg/m L,（0.76±0.18）% ],[（152.07±62.03）h,（10.43±6.92）,μg/m L,（0.71±0.17）%]; the differences between group A, B, C were statistically significant（F=32.752, 15.271, 5.679, P〈0.05）. In the group A, B, and C, D-dimer level lower than 3.0 μg/m L accounted for 24 cases（75.00%）, 21 cases（84.00%）, 5 cases（21.74%）, differences were significant（F=23.427, P〈0.05）, among which the group B covered the largest proportion. D-dimer level of group A and group B were similar and there was no significant difference（P 〉0.05）, the D-dimer segmentation level of group C was significantly lower than that of group A and group B（P 〈0.05）.Conclusion D-dimer, the WBC and N % indicators can help clinicians to conduct AMVO screening, diagnosis, and the diagnosis of different AMVO types, which is fast, convenient and efficient. It deserves clinical promotion.

关 键 词：急性肠系膜血管闭塞 D-二聚体 白细胞计数 动脉栓塞 动脉血栓形成 

分 类 号：R543[医药卫生—心血管疾病]