INTERES DEL DIMERO-D EN EL TROMBOEMBOLISMO PULMONAR.
作者： E. Hidalgo Nuchera , A.L. Luque Ruano , M.C. Serrano Sánchez , Bernabé Jurado Gámez , I. Luque Bravo
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摘要: El manejo del tromboembolismo pulmonar (TEP) es un tema de viva actualidad. Nuestro objetivo evaluar el papel que juegan los niveles plasmaticos Dimero-D (D-D), en TEP. Para ello estudiamos forma retrospectiva a 37 pacientes acudieron nuestro hospital con la sospecha clinica enfermedad tromboembolica. De ellos se confirmo existencia TEP 27. La determinacion DD realizo mediante tecnica aglutinacion por latex. test presento buena sensibilidad diagnostica, valor predictivo positivo 85 %, puede ser ayuda determinados casos. En 15 gammagrafia no concluyente, 10 fueron diagnosticados finalmente y todos presentaron elevados D-D. Sin embargo conjunto TEP, hubo 4 falsos negativos, presentando negativo 60 %. Por tanto aunque nivel elevado D-D interes determinadas situaciones clinicas, resultado descarta
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