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年龄校正后的D-二聚体水平为阴性的患者发生深静脉血栓形成

Deep Vein Thrombosis in a Patient with Negative Age-Adjusted D-Dimer Level.

作者信息

Sheth Monish A

机构信息

Baylor College of Medicine, Baylor Scott & White Medical Center, Temple, TX, USA.

出版信息

Ann Geriatr Med Res. 2023 Dec;27(4):353-357. doi: 10.4235/agmr.23.0110. Epub 2023 Oct 16.

DOI:10.4235/agmr.23.0110
PMID:37840451
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10772327/
Abstract

D-dimer level, along with a clinical probability tool that uses the Wells score, is commonly used to exclude deep vein thrombosis (DVT). Age-adjusted D-dimer values are routinely used in clinical practice to increase the negative predictive value and avoid unnecessary Doppler ultrasound imaging. We describe a patient with a low pre-test probability of DVT upon admission and a negative D-dimer level based on age-adjusted values who was later diagnosed with DVT. Our experiences with this case highlight that the geriatric population is unique and, at times, frail.

摘要

D-二聚体水平，连同使用Wells评分的临床概率工具，通常用于排除深静脉血栓形成（DVT）。在临床实践中，年龄校正后的D-二聚体值常规用于提高阴性预测值并避免不必要的多普勒超声成像。我们描述了一名入院时DVT预测试概率低且基于年龄校正值的D-二聚体水平为阴性的患者，该患者后来被诊断为DVT。我们对该病例的经验表明，老年人群是独特的，有时很脆弱。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/4cc0fce9b433/agmr-23-0110f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/7b906ceddb3d/agmr-23-0110f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/a74c378471bf/agmr-23-0110f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/4ea4c39054e7/agmr-23-0110f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/4cc0fce9b433/agmr-23-0110f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/7b906ceddb3d/agmr-23-0110f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/a74c378471bf/agmr-23-0110f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/4ea4c39054e7/agmr-23-0110f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3491/10772327/4cc0fce9b433/agmr-23-0110f4.jpg

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