血浆D-二聚体水平在急性冠脉综合征患者中的变化与临床意义  

Study the Changes and Clinical Significance of Plasma D-dimer Levels in Patients with Acute Coronary Syndromes

作　　者：丘衍博 刘雄伟[1] 束振华[1] Yanbo QIU;Xiongwei LIU;Zhenhua SHU(Department of Laboratory,Shenzhen Longgang Central Hospital,Shenzhen Guangdong 518000,China)

机构地区：[1]深圳市龙岗中心医院检验科

出　　处：《国际感染病学（电子版）》2018年第4期138-139,共2页Infection International(Electronic Edition)

摘　　要：目的研究分析血浆D-二聚体水平在急性冠脉综合征患者中的变化与临床意义。方法从我院急性冠脉综合征患者中选取79例,其中,42例为心绞痛,37例为心肌梗死。同时,选取40例健康人设为对照组。对比分析不同组别血浆D-二聚体水平状况,并分析血浆D-二聚体水平同急性冠脉综合征患者之间的关系。结果心肌梗死组患者的血浆D-二聚体水平显著高于心绞痛组患者,相比有统计学意义(P<0.05);且心肌梗死组患者与心绞痛组患者的血浆D-二聚体水均高于对照组,差异显著,P<0.05。结论血浆D-二聚体水平检测不仅能尽早发现急性冠脉综合征,还能很好的反映冠状损伤状况。Objective To study the changes and clinical significance of plasma D-dimer level in patients with acute coronary syndrome.Methods 79 cases of acute coronary syndrome were studied from our hospital,which 42 cases of angina,37 cases of myocardial infarction.At the same time,40 cases of healthy people were selected as the control group.Then compared the plasma D-dimer levels in different groups and to analyze the relationship between plasma D-dimer levels and patients with acute coronary syndromes.Results The plasma D-dimer level in patients with myocardial infarction was significantly higher than that in patients with angina pectoris(P<0.05).The levels of plasma D-dimer in the patients with myocardial infarction and angina pectoris of study group were significantly higher than those in the control group(P<0.05).Conclusion The Plasma D-dimer level detection could not only taken early detection of acute coronary syndrome,also a good reflection of coronary injury.

关 键 词：血浆D-二聚体水平 急性冠脉综合征 心绞痛 心肌梗死 

分 类 号：R541.4[医药卫生—心血管疾病]