为尽量避免肺栓塞的过度检查和误诊漏诊,需结合临床特点和危险因素,使用相关的初步检查,比如心电图、动脉血气分析、D-diner等和评估量表如Wells评分等。本研究通过回顾性分析首都医科大学附属北京朝阳医院急诊科确诊急性肺动脉栓塞症(acute pulmo...
Wells评分:0.802),为了临床便于操作,笔者设定了敏感性与特异性加权的最大值为截点,即Wells评分5分,D-dimer1724.00μg/L,等于或超过截点值时,定义为预测阳性,诊断PE的可靠性明显提高;低于截点值时,定义为预测阴性,排除PE的可靠性也明显升高。
关键词: D-二聚体, Wells评分, 深静脉血栓 Abstract: Objective To investigate the significance of clinical probability model Wells' score combined with D-dimer(DD)determination for screening deep vein thrombosis(DVT). Methods A total of 127 patients with suspected DVT were enrolled for Wells' sc...
Evaluation of Wells score and repeated D-dimer in diagnosing venous thromboembolism. Eur J Intern Med. 2008;19:285-8. [PMID: 18471679]Ljungqvist M, Soderberg M, Moritz P, Ahlgren A, Larfars G. Evaluation of Wells score and repeated D-dimer in diagnosing venous thromboembolism. Eur J Intern...
结论高龄髋部骨折患者围术期Wells评分及D-二聚体水平可用于下肢DVT临床诊断。 [Abstract] Objective To explore the application value of Wells score and D-dimer in the prediction of perioperative deep venous thrombosis(DVT)of lower limbs in elderly patients with hip fracture. Methods A retrospective ...
目的 评价Wells评分联合D-二聚体检测在诊断创伤后下肢深静脉血栓形成(DVT)中的应用价值.方法 回顾性分析59例确诊为创伤后DVT的临床资料以及60例无DVT的同期住院患者的临床资料,分别以Wells评分,D-二聚体以及二者联合与有无DVT的诊断结果 进行似然比等分析.结果 Wells评分在诊断创伤后DVT中灵敏度为91.53%,阴性预...
Objective To evaluate the values of Wells score combined with D-Dimer in the diagnosis of deep vein thrombosis(DVT) in the lower extremities of trauma patients.Methods Retrospective analysis the clinical data of 59 patients with DVT and 60 patients without DVT,which from 1 January 2005 to 31 ...
然而一项研究显示,在确诊主动脉夹层的患者中,D-二聚体水平 < 0.4 mg/L FEU 的比例高达 18%[16],故有专家推荐,联合急性主动脉夹层风险评分 (aortic dissection detection risk score, ADD-RS) 为低危(0 或 1 分)与 D-二聚体 < 0.5 mg/L FEU 或许可以更可靠地排除急性主动脉夹层,有研究显示,该方法对...
Wells评分联合D-二聚体在临床疑诊肺栓塞患者诊断中的预测价值
Conclusion Wells score combined with D-Dimer is convenient, accurate and safe for predicting acute pulmonary embolism.%目的:评价Wells评分联合D-二聚体(D-Dimer)检测在急性肺栓塞(APE)诊断中的作用。方法:收集我院2012年3月至2014年9月疑诊 APE 患者共42例进行前瞻性调查,以 Wells 评分表结合 D-Dimer...