床旁胸片检查结合血浆D-二聚体测定对肺栓塞的诊断价值-《西部中医药》

文章信息/Info

Title:: The Value of Bedside Chest X-ray and Plasma D-dimer Determination in the Diagnosis of Pulmonary Embolism

Author(s):: GUO Qiang, XU Jianmin, YANG Huizhen; Tianshui Municipal the 407th Hospital, Tianshui 741000, China

摘要:: 目的：探讨床旁胸片检查结合血浆D-二聚体(D-dimer,DD)测定肺动脉栓塞(pulmonary embolism,PE)的应用价值。方法：对16例临床可疑PE患者进行床旁胸片检查结合血浆DD测定，以临床诊断为依据，分别评价床旁胸片、DD测定以及床旁胸片检查结合血浆DD测定对PE诊断价值。结果：床旁胸片Westermark征6例(37.5%)，肺动脉高压6例(37.5%)(其中2种表现交叉者3例)，肺炎样改变2例(12.5%)，胸腔积液2例(12.5%)，3例(18.75%)未见明显异常X线征象；DD测定全部阳性(16例)，阳性率100%。结论：床旁胸片检查结合血浆D-二聚体测定是对PE较为准确而又迅速的诊断方法，并对疗效判定有重要价值。

Abstract:: Objective: To explore diagnostic value of bedside chest X-ray and plasma D-dimer (DD) determination in the diagnosis of pulmonary embolism (PE). Methods: All 16 patients received bedside chest X-ray and plasma DD determination, taking clinical diagnosis as the evidence, the values of bedside chest X-ray, DD determination, the combination of both in the diagnosis of PE were respectively assessed as well as clinical effects in the treatment for thrombosis. Results: There were six cases of Westermark signs showed in bedside chest X-ray (37.5%), six cases of pulmonary artery hypertension (PAH) (37.5%) (There were three cases manifesting both of the signs), two cases with pneumonia-like changes (12.5%), two cases of pleural effusion(12.5%) and three cases without the appearance of obvious abnormal X-ray signs (18.75%); the results of DD determination were all positive (16 cases), positive rate 100%. Conclusion: Bedside chest X-ray and plasma DD determination are accurate and rapid diagnostic methods for pulmonary embolism, which shows important values in the assessment of clinical effects.