临床症状评分、血浆D—二聚体及综合超声对肺血栓栓塞症的诊断意义
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[摘要] 目的 对临床症状评分、血浆D-二聚体（D-D）及综合超声在肺血栓栓塞症（PTE）中的应用价值进行分析探讨。方法 以我院2014年1月～2017年1月收治的83例PTE患者作为观察组，以同期在我院接受健康体检的100例志愿者作为对照组，对比两组研究对象的症状评分、D-D指标及超声特点。结果 观察组的Wells评分阳性率为25.30%，高于对照组的6.00%（P<0.05）。观察组的Geneva阳性率为26.51%，高于对照组的2.00%（P<0.05）。观察组血浆D-D阳性率为78.31%，明显高于对照组的34.00%（P<0.05）。观察组的下肢彩超阳性率为83.13%，高于对照组的17.00%（P<0.05）。观察组心脏彩超阳性率为81.93%，高于对照组的21.00%（P<0.05）。结论 对肺血栓栓塞症患者采用临床症状评分、D-D及超声联合检查能够有效提高疾病的诊断率，值得临床推广应用。
[关键词] 临床症状评分；血浆D-二聚体；综合超声；肺血栓栓塞症
[中图分类号] R563.5 [文献标识码] A [文章编号] 1673-9701（2017）19-0012-03
[Abstract] Objective To analyze and investigate the application value of the scores of clinical symptoms， plasma D-dimer （D-D） and comprehensive ultrasound in pulmonary thromboembolism （PTE）. Methods 83 patients with PTE who were admitted to our hospital from January 2014 to January 2017 were selected as the observation group. 100 healthy volunteers who received healthy physical examination in our hospital during the same period were selected as the control group. The symptom scores， D-D index and characteristics of ultrasonography were compared between the two groups. Results The positive rate of Wells score was 25.30% in the observation group， which was higher than that of 6.00% in the control group（P<0.05）. The positive rate of Geneva in the observation group was 26.51%， which was higher than that of 2.00% in the contr...
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