血浆D-二聚体和血气分析测定在肺栓塞中的临床诊断价值  

Clinical Diagnostic Value of Plasma D-dimer and Blood Gas Analysis in Pulmonary Embolism

作　　者：池峰[1] 付佑辉[1] 周晨[1] 王海涛[1] 张舒[1] CHI Feng;FU Youhui;ZHOU Chen;WANG Hai-tao;ZHANG Shu(Department of Respiratory Medicine,Seventh People's Hospital of Shanghai University of TCM,Shanghai 200137,China)

机构地区：[1]上海中医药大学附属第七人民医院呼吸内科,200137

出　　处：《实用心脑肺血管病杂志》2017年第B12期97-98,共2页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的分析血浆D-二聚体和血气分析测定在肺栓塞中的临床诊断价值。方法选取2015年5月—2017年5月于上海中医药大学附属第七人民医院收治的肺栓塞患者78例为肺栓塞组,另选取本院同期进行常规健康体检人员78例为正常组,检测比较两组受试者血浆D-二聚体和血气分析指标[血氧分压(PaO_2)]。结果肺栓塞组PaO_2≤60 mm Hg者所占比例高于正常组,PaO_2>60 mm Hg者所占比例低于正常组(P<0.05)。肺栓塞组血浆D-二聚体阳性且PaO_2≤60 mm Hg者所占比例高于正常组(P<0.05)。结论血浆D-二聚体联合血气分析检测可有效提高肺栓塞患者的临床检出率。Objective To analyse the clinical diagnostic value of plasma D-dimer and blood gas analysis in pulmonary embolism.Methods A total of78cases of pulmonary embolism patients were selected from May2015to May2017in Seventh People's Hospital of Shanghai University of TCM as pulmonary embolism group,and78cases of health examination people were selected as normal group.The plasma D-dimer and blood gas analysis(PaO2)were detected and compared between the two groups.Results The pulmonary embolism group of PaO2≤60mm Hg rate was higher than normal group,PaO2>60mm Hg rate was lower than normal group(P<0.05).The pulmonary embolism group of D-dimer positive and PaO2≤60mm Hg rate was higher than normal group(P<0.05).Conclusion Plasma D-dimer and blood gas analysis can improve the clinic positive ratios of pulmonary embolism.

关 键 词：肺栓塞 D-二聚体 血气分析 诊断价值 

分 类 号：R563.5[医药卫生—呼吸系统]