D二聚体与FDP在早期诊断肺栓塞中的临床应用价值分析
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信阳市中心医院

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Clinical value analysis of D-dimer and FDP in early diagnosis of pulmonary embolism
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    摘要:

    目的:评估D-二聚体与纤维蛋白降解产物(Fibrin Degradation Products, FDP)联合检测在肺栓塞(Pulmonary Embolism, PE)早期诊断中的价值。方法:选取2022年1月至2023年12期间本院收治的121例疑似肺栓塞患者作为研究对象。所有患者均行经CT肺动脉造影(CTPA)检查。以CTPA结果为金标准,将患者分为肺栓塞组和非肺栓塞组。收集并比较两组的基线资料。检测对比两组的D-二聚体、FDP水平。采用Logistic回归分析探讨肺栓塞的影响因素。采用受试者工作曲线(Receiver Operating Characteristic, ROC)评估D-二聚体、FDP诊断肺栓塞的效能。结果:121例疑似肺栓塞患者中,共有59例确诊为肺栓塞,纳入肺栓塞组;62例为非肺栓塞患者,纳入非肺栓塞组。肺栓塞组的年龄、D-二聚体、FDP水平均显著高于非肺栓塞组(P<0.05)。Logistic回归分析结果显示,年龄、D-二聚体、FDP水平增加是肺栓塞发生的危险因素(P<0.05)。D-二聚体单独诊断的灵敏度为89.8%,特异度为85.5%,FDP单独诊断的灵敏度为86.4%,特异度为90.3%,联合诊断的灵敏度为94.9%,特异度为80.4%。结论:D-二聚体和FDP是肺栓塞发生的危险因素,两者联合在肺栓塞的早期诊断中具有较高的灵敏性和相对较好的特异性。

    Abstract:

    Objective: To evaluate the value of combined detection of D-dimer and Fibrin Degradation Products (FDP) in the early diagnosis of Pulmonary Embolism (PE). Methods: 121 patients with suspected pulmonary embolism admitted to our hospital from January 2022 to December 2023 were selected as the study objects. All patients were examined by CT pulmonary angiography (CTPA). Using CTPA results as the gold standard, patients were divided into pulmonary embolism group and non-pulmonary embolism group. Baseline data were collected and compared between the two groups. The D-dimer and FDP levels of the two groups were detected and compared. The influencing factors of pulmonary embolism were analyzed by Logistic regression. The efficacy of D-dimer and FDP in diagnosing pulmonary embolism was evaluated by Receiver Operating Characteristic (ROC). Results: Among 121 suspected patients with pulmonary embolism, 59 cases were confirmed as pulmonary embolism and included in the pulmonary embolism group. Sixty-two patients with non-pulmonary embolism were included in the non-pulmonary embolism group. The levels of age, D-dimer and FDP in pulmonary embolism group were significantly higher than those in non-pulmonary embolism group (P<0.05). Logistic regression analysis showed that age, D-dimer and FDP levels were risk factors for pulmonary embolism (P<0.05). The sensitivity and specificity of D-dimer alone diagnosis were 89.8% and 85.5%, the sensitivity and specificity of FDP alone diagnosis were 86.4% and 90.3%, and the sensitivity and specificity of combined diagnosis were 94.9% and 80.4%. Conclusion: D-dimer and FDP are risk factors for pulmonary embolism, and their combination has high sensitivity and relatively good specificity in early diagnosis of pulmonary embolism.

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李三中. D二聚体与FDP在早期诊断肺栓塞中的临床应用价值分析[J].四川生理科学杂志,2025,47(8):

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  • 收稿日期:2025-02-24
  • 最后修改日期:2025-03-04
  • 录用日期:2025-03-06
  • 在线发布日期: 2025-08-31
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