脑外伤后脑疝患者血浆D-二聚体含量变化及其意义

被引：5

作者：

李定君

詹书良

董劲虎

杨福兵

危文娅

机构：

[1] 泸州医学院附属医院神经外科

来源：

临床神经病学杂志 | 2001年 / 05期

关键词：

脑外伤; 脑疝; D-二聚体; 预后;

D O I：

暂无

中图分类号：

R651.15 [];

学科分类号：

1002 ; 100210 ;

摘要：

目的　研究脑外伤后脑疝病人血浆 D-二聚体 (D- D)含量变化及其与预后的关系。方法　应用酶联免疫吸附分析法测定 5 0例脑外伤后脑疝病人术前、术后 3天及康复期的血浆 D- D值。结果　所有病例术前血浆 D- D值均高于正常水平 ,D- D值越高 ,预后越差。 19例 D- D值 >0 .85 m g/L 的患者 ,17例 (90 % )死亡 ,D- D值 <0 .6 5 mg/L 的病例均获良好恢复。随着病程延长 ,血浆 D- D逐渐下降 ,但预后不良病例在术后 3天血浆 D- D值仍较高。结论　血浆 D- D值高的脑外伤后脑疝病人预后差 ,血浆 D- D含量的变化能迅速、准确地反映其预后 ,并对治疗有一定指导作用。

引用

页码：296 / 297

页数：2

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