对成人和儿科的D-Dimer测试进行回顾性研究,以确定改进利用的机会
Rabab Al Dawood1,2, Hassan Abu Sabah1,3, Natalie Mathews1,4
1Department of Pathology and Molecular Medicine, McMaster University, Hamilton, Canada.
International journal of laboratory hematology
|November 14, 2025
概括
在儿童和成年人中,D-二聚体测试通常用于评估静脉血栓栓塞事件 (VTE) 和扩散性血管内凝血 (DIC). 需要提高质量,以便更好的文档和适当的D-二次元测试利用.
科学领域:
- 临床化学 临床化学
- 血液学 血液学 血液学
- 诊断医学 诊断医学
背景情况:
- 纤维溶解的标志物D-二次体用于诊断散布性血管内凝血 (DIC) 和儿童的某些炎症状况.
- 在成年人中,D-二聚体测试有助于评估DIC,并与临床概率相结合,可以帮助排除静脉血栓塞栓事件 (VTE).
研究的目的:
- 评估当前在医院环境中使用D-二聚体测试的情况.
- 确定改善适当使用D-二聚合物测定和临床评分记录的机会.
主要方法:
- 在2022年6月至2023年5月期间,在汉密尔顿医院对接受D-二次体测试的患者进行了一项回顾性队列研究.
- 收集的数据包括患者人口统计数据,测试的原因,D-二次体水平,以及VTE概率和DIC得分的文档.
主要成果:
- 对175名儿童和200名成年人进行了D-二聚体测试,大多数测试是在急诊室订购的,用于疑似VTE或DIC.
- 升高的D-二次体水平很常见 (55%的儿童,61%的成年人),并且很少记录VTE概率或DIC得分.
- D-二次元工作负载的很大一部分 (15%) 涉及患者进行多次测试,通常用于监测DIC.
结论:
- 在儿童和成人群体中,D-二聚体检测的主要指示是评估VTE和DIC.
- 显然需要质量改进举措,以加强临床分数的文档,并优化D-二次体测试利用率.
关键词:
DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DIC DICD-二聚合物 D-二聚合物凝血是凝固的过程.纤维化解是一种纤维化解.儿科 儿科 儿科 儿科血栓形成的原因是血栓形成.更多相关视频
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