根据手术患者的特征,使用D-二次体水平检查深静脉血栓的查
Fumimasa Kitamura1, Yuta Shiraishi1, Kazuya Sakata1
1Surgical Gastroenterology, Amakusa Regional Medical Center, Amakusa, JPN.
Cureus
|January 13, 2025
概括
低体重指数和高的D-二次体水平预测了手术患者的深静脉血栓塞 (DVT) 风险. D-二聚体查可以帮助减少不必要的手术前测试,优化手术护理.
科学领域:
- 医学科学 医学科学 医学科学
- 手术护理 手术护理
- 诊断成像 诊断成像 诊断成像
背景情况:
- 医疗保健系统面临着外科医生短缺和医务人员减少的挑战.
- 尽量减少不必要的诊断测试对于减轻区域医疗保健人员负担至关重要.
研究的目的:
- 在手术患者中识别深静脉血栓症 (DVT) 的预测因素.
- 评估使用D-二次体水平用于手术前的DVT查的可行性.
主要方法:
- 对310例手术病例进行了术前下肢超声波的回顾性分析.
- 对46名患有DVT (凝血) 的患者和264名没有DVT的患者进行比较.
主要成果:
- 低体重指数 (<18.5 kg/m2) 和高D-二次数水平 (>2 μg/mL) 显著增加了DVT的风险.
- 口服抗血小板药物和抗凝剂与较低的DVT风险有关.
- D-二次数水平显示DVT预测曲线下的面积为0.779,门为1.4μg/mL,达到100%的灵敏度.
结论:
- D-二聚物水平显示在预测手术患者的DVT风险方面具有潜在的有效性.
- 将D-二聚物水平与患者背景信息相结合,可能有助于减少过度的手术前检测.
- 优化诊断策略可以提高手术患者管理的效率.
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