Diagnostic value of fibrinogen in lower extremity deep vein thrombosis caused by rib fracture: A retrospective study.

Phlebology Pub Date : 2024-10-01 Epub Date: 2024-05-31 DOI:10.1177/02683555241258274
Lei Feng, Zexin Xie, Xuetao Zhou, Yang Yang, Zheng Liang, Chunjuan Hou, Lili Liu, Dongsheng Zhang
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Abstract

Objectives: To investigate the diagnostic value of fibrinogen (FIB) in patients with rib fractures complicated by lower extremity deep venous thrombosis (DVT).Methods: Analyzing data from 493 patients at Shijiazhuang Third Hospital, FIB levels at 24, 48, and 72 h post-injury were compared between DVT and non-DVT groups.Results: DVT group had elevated FIB levels at all times (p < .001). FIB at 24 h showed highest AUC, particularly in patients with BMI <28.Conclusion: In conclusion, measuring FIB at 24 h post-injury enhances DVT detection in rib fracture patients, with potential BMI-related variations.

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纤维蛋白原对肋骨骨折引起的下肢深静脉血栓的诊断价值:一项回顾性研究。
目的研究纤维蛋白原(FIB)在肋骨骨折并发下肢深静脉血栓(DVT)患者中的诊断价值:分析石家庄市第三医院 493 例患者的数据,比较深静脉血栓组和非深静脉血栓组在伤后 24、48 和 72 h 的纤维蛋白原水平:结果:深静脉血栓组的 FIB 水平在所有时间均升高(P < .001)。24 小时时的 FIB AUC 最高,尤其是在 BMI 患者中:总之,在伤后 24 小时测量 FIB 可提高肋骨骨折患者的深静脉血栓检测能力,但可能会出现与 BMI 相关的变化。
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