Sathe Prachee M, Patwa Urvil D
Department of Critical Care Medicine, Ruby Hall Clinic, Pune, Maharashtra, India.
Int J Crit Illn Inj Sci. 2014 Jul;4(3):229-32. doi: 10.4103/2229-5151.141435.
Pulmonary embolism, Deep Vein Thrombosis (DVT) and Disseminated intravascular coagulation (DIC) are important sources of mortality and morbidity in intensive care unit (ICU). And every time D-dimer remains the the commonest investigation. Many times D-dimer is erroneously considered as a diagnostic test in above mentioned conditions. Its interpretation requires cautions. To circumvent this source of error it is necessary to understand D-dimer test and its significance in various disorder. This article review some basic details of D-dimer, condition associated with its increased level and some prognostic value in intracranial hemorrhage and gastrointestinal (GI) bleed.
肺栓塞、深静脉血栓形成(DVT)和弥散性血管内凝血(DIC)是重症监护病房(ICU)死亡和发病的重要原因。每次D-二聚体仍然是最常见的检查项目。在上述情况下,D-二聚体多次被错误地视为诊断性检查。对其解读需要谨慎。为避免这一误差来源,有必要了解D-二聚体检测及其在各种疾病中的意义。本文回顾了D-二聚体的一些基本细节、与其水平升高相关的情况以及在颅内出血和胃肠道(GI)出血中的一些预后价值。