Elevated D-dimer is not always pulmonary embolism

Vikas Pathak, Iliana Samara Hurtado Rendon, Padmini Muthyala
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引用次数: 2

Abstract

Serum D-dimer is elevated in several chest emergencies, including Acute Coronary Syndrome (ACS), Venous Thromboembolism (VTE) and Acute Aortic Dissection (AAD). Because of its simplicity and easy availability its use beyond the exclusion of VTE has grown in recent years. There is an increasing trend towards using the test to exclude AAD, where there are no other sensitive screening tests.

We present a patient suspected to have pulmonary embolism (PE) based on chest pain and elevated D-dimer, gets a computed tomography with angiogram (CTA) and turns out to have an AAD.

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d -二聚体升高并不总是肺栓塞
血清d -二聚体在几种胸部急症中升高,包括急性冠状动脉综合征(ACS)、静脉血栓栓塞(VTE)和急性主动脉夹层(AAD)。由于它的简单性和易用性,近年来它在静脉血栓栓塞之外的应用越来越广泛。在没有其他敏感筛选测试的情况下,使用该测试排除AAD的趋势越来越明显。我们提出一个病人怀疑有肺栓塞(PE)基于胸痛和升高的d -二聚体,得到计算机断层扫描与血管造影(CTA),结果是一个AAD。
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