四肢骨伤病人D-二聚体水平变化的临床意义  

Clinical study on D dimer level in patients with limb bone injury

作　　者：沈海英 许超[1] 汤滨滨 Shen Haiying;Xu Chao;Tang Binbin(Department,of Laboratory No.72 Regiment Army Hospital of the People's Liberation Army,Huzhou,Zhejiang 313000,China)

机构地区：[1]中国人民解放军陆军第72团军医院检验科,浙江湖州313000

出　　处：《医药前沿》2019年第34期9-10,共2页Journal of Frontiers of Medicine

摘　　要：目的:分析四肢骨伤病人D-二聚体水平变化的临床意义。方法:随机选取本院2017年4月-2019年2月收治的300例骨伤患者为对象,按受伤部位和患者年龄段分组,以深静脉血栓的发生为依据,在患者伤后24小时之内进行D-二聚体水平检测。结果:上肢骨折病人伤后24小时各年龄段D-二聚体阳性率分别为0%、2%、4%;下肢骨折病人伤后24小时D-二聚体阳性率各年龄段分别为4%、8%、38%。结论:伤后24小时,上肢骨折病人D-二聚体水平上升不大,并且不同年龄段差异不显著,发生深静脉血栓的概率不大;下肢骨折病人D-二聚体水平显著提高,且年龄越大,其增高越明显,较上肢骨折病人更容易发生血栓。Objective To study the clinical significance of D-dimer level in patients with limb bone injury.Methods 300 patients with bone injury from April 2017 to February 2019 were randomly selected as study samples,the samples were grouped by injury site and age of patients,and D dimer level was detected within 24 hours after the injury based on the occurrence of deep venous thrombosis.ResultsThe positive rates of d-dimer in different age groups were 0%,2%and 4%,respectively,24 hours after upper limb fracture.D-dimer positive rate was 4%,8%and 38%,respectively.Conclusion:D-dimer level in patients with upper limb fracture did not increase significantly 24 hours after injury,and there was little difference among different age groups.The d-dimer level was significantly increased in patients with lower extremity fractures,and the higher the age,the more obvious the increase,and the more likely the thrombosis occurred in patients with upper extremity fractures.

关 键 词：四肢骨伤 D-二聚体 深静脉血栓 

分 类 号：R684[医药卫生—骨科学]