| 司毅，许翠萍*.肝硬化患者血浆D-二聚体的变化及其临床意义[J].山西医科大学学报,2009,40(1):70~71 |
| 肝硬化患者血浆D-二聚体的变化及其临床意义 |
|
| |
| DOI： |
| 中文关键词: 肝硬化 血浆D-二聚体 Child分级 |
| 英文关键词: contrast enhanced ultrasound 〓fatty liver 〓quantification analysis |
| 基金项目: |
|
| 摘要点击次数: 3549 |
| 全文下载次数: 0 |
| 中文摘要: |
| 目的〓
探讨肝硬化患者血浆D-二聚体（D dimer)的变化及其临床意义。
〓方法〓
对50例肝硬化患者（Child B级30例,Child C级20例）及20例正常对照测定其血浆D-二聚体、纤维蛋白原（FIB）、凝血酶原时间（PT）、活化部分凝血活酶时间（APTT）、血小板（PLT）水平。
〓结果〓
肝硬化Child B级组与正常对照组比较D dimer明显增高(P＜0.05)；肝硬化Child C级组血浆D dimer水平显著高于肝硬化Child B级组和正常对照组(P＜0.01)。肝硬化Child C级组FIB与正常对照组和Child B级组比较无统计学差异（P>0.05）。肝硬化Child C级组与Child B级组PLT水平比较差异无统计学意义，肝硬化Child B级组PLT水平与对照组比较差异有统计学意义。肝硬化Child C级组PT、APTT与正常对照组和Child B级组比较均有统计学意义（P＜0.05)。
〓结论〓
血浆D dimer水平与肝硬化的严重程度密切相关,观察血浆D dimer水平可早期了解肝硬化患者纤溶系统亢进的程度,对肝硬化患者的病情判断、出血抢救、指导临床用药及预后估计有重要的参考价值。 |
| 英文摘要: |
| Objective〓
To investigate the hemodynamic changes of fatty liver with gray scale contrast enhanced ultrasound.
〓Methods〓
Parameters of gray scale contrast enhanced ultrasound in fatty liver of 12 patients and normal liver of 12 subjects without documented liver diseases were compared and quantitatively analyzed.
〓Results〓
Compared with normal liver parenchyma，the peak signal intensity in the anterior and middle field of fatty liver were lower with contrast enhanced ultrasound.
〓Conclusion〓
Enhancement in fatty liver is lower than that in normal liver with contrast enhanced ultrasound，which may affect the observation of focal liver lesion(FLL)in middle and posterior field.〖JP2〗To use mechanical index and zoom function can improve the imaging of FLL in middle and posterior field of fatty liver. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
