[1]和珍珍,吴彦洪,刘艳,等.凝血指标测定对诊断胎盘早剥的价值分析[J].医学信息,2018,31(01):153-154,157.[doi:10.3969/j.issn.1006-1959.2018.01.060]
　HE Zhen-zhen,WU Yan-hong,LIU Yan,et al.Value Analysis of Coagulation Index in Diagnosing Placental Abruption[J].Journal of Medical Information,2018,31(01):153-154,157.[doi:10.3969/j.issn.1006-1959.2018.01.060]
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凝血指标测定对诊断胎盘早剥的价值分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年01期
页码:
153-154,157
栏目:
诊疗技术
出版日期:
2018-01-01

文章信息/Info

Title:
Value Analysis of Coagulation Index in Diagnosing Placental Abruption
文章编号:
1006-1959（2018）01-0153-03
作者:
和珍珍; 吴彦洪; 刘艳; 张明
天津市第一中心医院产科，天津300192
Author(s):
HE Zhen-zhen; WU Yan-hong; LIU Yan; ZHANG Ming
Department of Obstetrics and Gynecology,Tianjin First Central Hospital,Tianjin 300192,China
关键词:
胎盘早剥; D-二聚体; 纤维蛋白原; 部分出凝血时间
Keywords:
Key words：Placental abruption; D-two polymer; Fibrinogen; Partial coagulation time
分类号:
R714.22
DOI:
10.3969/j.issn.1006-1959.2018.01.060
文献标志码:
A
摘要:
目的探讨血清D-二聚体尧纤维蛋白原测定对胎盘早剥的诊断价值遥方法选取本院2015 年1 月~2017 年4月确诊为 胎盘早剥产妇36 例为观察组，选取正常产妇40 例为对照组，分别测定胎盘早剥产妇尧正常产妇术前血清D-二聚体尧纤维蛋白 原尧部分凝血活酶时间，比较观察组与对照组以上指标是否有差异遥胎盘早剥组产妇术前依据B超诊断24 例，B 超与凝血指标 联合诊断32 例，比较两种诊断方法是否有差异遥结果胎盘早剥产妇术前血清D-二聚体水平高于正常产妇（约0.05），纤维蛋 白原水平低于正常产妇（约0.05）遥部分凝血活酶时间两组之间无差异（跃0.05）遥凝血指标联合B 超诊断胎盘早剥确诊率高于单 一B 超诊断，差异具有统计学意义（约0.05）遥结论胎盘早剥前期血清D-二聚体水平升高，纤维蛋白原水平下降，上述两个指 标可作为胎盘早剥诊断的依据，联合B 超诊断可提高胎盘早剥的诊断率遥
Abstract:
Abstract：Objective To investigate the serum D-two dimer,fibrinogen determination in the diagnosis of placental abruption.Methods In our hospital from January 2015~April 2017 confirmed the diagnosis of placental abruption mothers of 36 cases of the observation group,selected 40 cases of normal pregnancy as the control group,the determination of placental abruption mothers were normal pregnant women,preoperative serum D-two dimer,fibrinogen,activated partial thromboplastin time,the observation group compared with the control group the above index whether there are differences.The maternal placental abruption group based on preoperative B ultrasound diagnosis of 24 cases,ultrasound and blood coagulation index combined diagnosis in 32 cases,comparison of two diagnostic methods in diagnosing whether there are differences in placental abruption mothers.Results Placental abruption mothers preoperative serum D-two dimer levels higher than normal pregnant women( <0.05),fibrinogen level was lower than that of normal pregnant women ( <0.05).Partial thromboplastin time showed no difference between the two groups ( >0.05).Blood coagulation index combined with ultrasound diagnosis of placental abruption diagnosis rate is higher than that of a single ultrasound diagnosis,the difference was statistically significant ( <0.05).Conclusion The level of serum D-two polymer was elevated in preplacental prophase.The level of fibrinogen is decreased.The above two indexes can be used as the basis for the diagnosis of placental abruption.The diagnostic rate of placental abruption can be improved by combined B-ultrasound diagnosis.

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更新日期/Last Update: 2018-01-22