患有负年龄调整的D-dimer水平的患者的深静脉血栓形成
1Baylor College of Medicine, Baylor Scott & White Medical Center, Temple, TX, USA.
Annals of geriatric medicine and research
|October 16, 2023
概括
根据年龄调整的D-二聚体测试可能会错过脆弱的老年患者的深静脉血栓 (DVT). 这一案例凸显了在老年DVT诊断中,需要仔细的临床判断超出D-二次元水平.
科学领域:
- 血管医学 血管医学
- 老年医学 老年医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 深静脉血栓 (DVT) 诊断通常使用D-二次体测试和威尔斯分数进行风险分层.
- 根据年龄调整的D-二次体水平用于提高诊断准确度,减少疑似DVT病例中不必要的成像.
研究的目的:
- 报告一个深静脉血栓塞 (DVT) 病例,该病例在年龄调整后的D-二次体检测中错过了.
- 强调在老年人群中诊断DVT的挑战.
主要方法:
- 一个老年患者的病例报告,在检测前对DVT的概率很低.
- 使用的威尔斯分数和年龄调整的D-二次数水平用于初步评估.
- 诊断证实,尽管负的D-二次体结果.
主要成果:
- 一名患有低前测试概率和负年龄调整的D-二次数的老年患者被诊断出患有DVT.
- 这些发现表明,对某些老年人进行D-二聚体检测存在局限性.
结论:
- 根据年龄调整的D-二次体检测可能不足以排除所有老年患者的DVT.
- 老年患者独特的生理特征和脆弱性需要考虑.
- 在诊断DVT时,临床怀疑仍然至关重要,特别是在脆弱人群中.
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