血浆D-二聚体水平对伴腹痛急性主动脉夹层的诊断价值

目的探讨血浆D-二聚体（D-dimer）在急诊鉴别诊断伴腹痛急性主动脉夹层（AAD）中的临床价值。方法选取伴腹痛的ADD患者（ADD组）、急性胰腺炎患者（胰腺炎组）及其他外科急腹症患者（急腹症组）各22例,检测血浆D-二聚体水平并进行比较。结果 AAD组的血浆D-二聚体水平（5678±459ng/ml）明显高于胰腺炎组（987±235ng/ml）和急腹症组（673±104ng/ml）（P〈0.01）。结论血浆D-二聚体水平有助于伴腹痛AAD患者的诊断。

Diagnostic Value of Plasma D-dimer Level in Acute Aortic Dissection with Abdominal Pain

Objective To explore the clinical value of D-dimer level for differential diagnosis of acute aortic dissection（AAD） with abdominal pain in emergency.Methods AAD patients with abdominal pain（AAD group）,patients with acute pancreatitis（pancreatitis group） and patients with other acute abdominal diseases（acute abdomen group）,22 in each group were enrolled.Plasma level of D-dimer was assayed and the results were compared.Results The level of plasma D-dimer was significantly higher in AAD group（5678±459ng/ml） than that of acute pancreatitis group（987±235ng/ml）,and acute abdomen group（673±104ng/ml）（P〈0.01）.Conclusion The D-dimer level plays an important role in the diagnose of AAD with abdominal pain.