床旁即时血浆D-二聚体检测对急性心肌梗死患者危险程度的早期评估价值

发布时间：2018-03-14 22:00

  本文选题：D-二聚体　切入点：即时检验　出处：《山东医药》2017年46期 　论文类型：期刊论文

【摘要】：目的评估床旁即时血浆D-二聚体(D-D)检测对急性心肌梗死(AMI)患者危险程度的早期评估价值。方法收集223例就诊于急诊并诊断为AMI患者的相关临床资料,记录AMI患者28 d内发生死亡例数,分析D-D对AMI患者28 d内死亡的预测价值。结果 223例AMI患者床旁即时血浆D-D水平为(420.32±119.65)ng/m L,其中≥600 ng/m L者51例、60 0ng/m L者172例。二者院前时间、高血压和(或)血脂异常、冠心病或陈旧心梗、糖尿病、肌钙蛋白I、急诊PCI比较差异无统计学意义,性别、年龄、吸烟史、其他合并症、N末端前脑钠肽、PCI结果(单支病变)比较差异有统计学意义(P均0.05)。不同床旁即时血浆D-D水平AMI患者28 d内死亡病因比较,差异均无统计学意义。将数据进行Logistic回归分析,结果显示D-二聚体对急性心肌梗死患者28 d内死亡无预测价值(P均0.05)。结论单独检测床旁即时血浆D-D对AMI患者危险程度的早期评估价值有限,联合检测可能会成为有价值预测因子之一。
[Abstract]:Objective to evaluate the early evaluation value of immediate plasma D-D detection in patients with acute myocardial infarction (AMI). Methods the clinical data of 223 patients with acute myocardial infarction (AMI) who were diagnosed as AMI were collected. The death rate of AMI patients within 28 days was recorded, and the predictive value of D-D in AMI patients within 28 days was analyzed. Results the immediate plasma D-D levels of 223 patients with AMI were 420.32 卤119.65 ng / mL, of which 51 patients with 鈮，

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