诊断学对医学生来讲是很重要又是密切结合临床实际的一门课程,它的内容十分广泛,免疫学实验诊断只占其中一小部分。免疫学诊断的突出特点应该具有高度特异性,且随着免疫学新技术的不断出现,其敏感性和重复性都应有所提高。因此,对某些与免疫相关疾病的诊断、鉴别诊断...
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D-dimer与纤维蛋白原比值在静脉血栓栓塞诊断中的应用价值
目的探讨D-dimer、纤维蛋白原(Fg)、D-dimer与Fg比值(D/F)以及C反应蛋白(CRP)在静脉血栓栓塞(VTE)中的临床诊断价值。方法对民航总医院就诊的221例急诊与住院疑似VTE患者D-dimer、Fg及CRP进行检测,并计算D/F,采用胸部CT、病理诊断等对疑似患者明确诊断。结果 VTE人群的Fg水平低于非VTE人群(t=6.421,PD-dimer>CRP。结论采用D/F可提高VTE临床诊断的特异性,可作为一项有益的指标应用于VTE辅助诊断。
鲁炳怀, 朱凤霞, 史丽娜, 杨静
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