{"id":62537,"date":"2025-12-28T05:11:10","date_gmt":"2025-12-28T05:11:10","guid":{"rendered":"http:\/\/zydq.1006ss.com\/?p=62537"},"modified":"2025-12-28T05:11:10","modified_gmt":"2025-12-28T05:11:10","slug":"d-%e4%ba%8c%e8%81%9a%e4%bd%93%e4%b8%8e-fdp-%e5%90%8c%e6%97%b6%e5%bc%82%e5%b8%b8%e5%8d%87%e9%ab%98%ef%bc%8c%e6%9c%89%e4%bd%95%e6%84%8f%e4%b9%89%ef%bc%9f%e4%b8%80%e6%96%87%e6%a2%b3%e7%90%86-8-%e7%82%b9","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=62537","title":{"rendered":"D-\u4e8c\u805a\u4f53\u4e0e FDP \u540c\u65f6\u5f02\u5e38\u5347\u9ad8\uff0c\u6709\u4f55\u610f\u4e49\uff1f\u4e00\u6587\u68b3\u7406 8 \u70b9\u89e3\u8bfb"},"content":{"rendered":"<\/p>\n

\u7ea4\u7ef4\u86cb\u767d\u539f\u964d\u89e3\u4ea7\u7269\uff08FDP\uff09\u662f\u5728\u7ea4\u6eb6\u4ea2\u8fdb\u65f6\u4ea7\u751f\u7684\u7ea4\u6eb6\u9176\u4f5c\u7528\u4e0b\uff0c\u7ea4\u7ef4\u86cb\u767d\u6216\u7ea4\u7ef4\u86cb\u767d\u539f\u88ab\u5206\u89e3\u540e\u4ea7\u751f\u7684\u964d\u89e3\u4ea7\u7269\u7684\u603b\u79f0\uff0cFDP \u80fd\u591f\u53cd\u6620\u7ea4\u6eb6\u7cfb\u7edf\u529f\u80fd\uff0c\u5224\u65ad\u8840\u7ba1\u5185\u51dd\u8840\u3001\u8840\u6813\u5f62\u6210\u7b49\u60c5\u51b5\u3002<\/p>\n

D-\u4e8c\u805a\u4f53\u662f\u4ea4\u8054\u7ea4\u7ef4\u86cb\u767d\u5728\u7ea4\u6eb6\u9176\u4f5c\u7528\u4e0b\u7684\u7279\u5f02\u6027\u964d\u89e3\u4ea7\u7269\uff0c\u5176\u4ea7\u751f\u8fc7\u7a0b\u6d89\u53ca\u51dd\u8840\u9176\u3001\u6d3b\u5316\u7684\u56e0\u5b50 XIII\u3001\u7ea4\u6eb6\u9176\u4e09\u79cd\u9176\u7684\u4f5c\u7528\uff0c\u662f\u7531\u8840\u6db2\u4e2d\u7ea4\u7ef4\u86cb\u767d\u5355\u4f53\u7ecf\u6d3b\u5316\u56e0\u5b50 XIII \u805a\u5408\u3001\u4ea4\u8054\u540e\uff0c\u518d\u7ecf\u6d3b\u5316\u7684\u7ea4\u6eb6\u9176\u6c34\u89e3\u4ea7\u751f\uff0c\u53ef\u4f5c\u4e3a\u53cd\u6620\u4f53\u5185\u8840\u6d46\u9ad8\u51dd\u72b6\u6001\u53ca\u7ea4\u6eb6\u7cfb\u7edf\u6fc0\u6d3b\u7684\u91cd\u8981\u5206\u5b50\u6807\u5fd7\u7269\u3002<\/p>\n

FDP \u548c D-\u4e8c\u805a\u4f53\u6700\u5927\u7684\u533a\u522b\u4e4b\u4e00\u662f FDP \u53ef\u4ee5\u4ee5\u7ea4\u7ef4\u86cb\u767d\u539f\u4e3a\u5e95\u7269\uff0c\u800c D-\u4e8c\u805a\u4f53\u662f\u4ee5\u7ea4\u7ef4\u86cb\u767d\u4e3a\u4f5c\u7528\u5e95\u7269\uff0c\u56e0\u6b64\uff0c\u5728\u539f\u53d1\u6027\u7ea4\u6eb6\u65f6 D-\u4e8c\u805a\u4f53\u6c34\u5e73\u5e76\u4e0d\u589e\u9ad8\uff0c\u800c FDP \u6c34\u5e73\u589e\u9ad8\u3002<\/p>\n

\u4e8c\u8005\u5728\u4e34\u5e8a\u4e0a\u5982\u4f55\u8054\u5408\u5e94\u7528\u5462\uff1f<\/p>\n

\u2776 D-\u4e8c\u805a\u4f53 & FDP \u534f\u52a9\u8bca\u65ad\u5f25\u6563\u6027\u8840\u7ba1\u5185\u51dd\u8840<\/p>\n

\u5f25\u6563\u6027\u8840\u7ba1\u5185\u51dd\u8840\uff08DIC\uff09\u662f\u5728\u8bb8\u591a\u75be\u75c5\u57fa\u7840\u4e0a\uff0c\u81f4\u75c5\u56e0\u7d20\u635f\u4f24\u5fae\u8840\u7ba1\u4f53\u7cfb\uff0c\u5bfc\u81f4\u51dd\u8840\u6d3b\u5316\uff0c\u5168\u8eab\u5fae\u8840\u7ba1\u8840\u6813\u5f62\u6210\u3001\u51dd\u8840\u56e0\u5b50\u5927\u91cf\u6d88\u8017\u5e76\u7ee7\u53d1\u7ea4\u6eb6\u4ea2\u8fdb\uff0c\u5f15\u8d77\u4ee5\u51fa\u8840\u53ca\u5fae\u5faa\u73af\u8870\u7aed\u4e3a\u7279\u5f81\u7684\u4e34\u5e8a\u7efc\u5408\u5f81\u3002<\/p>\n

\u300a\u5f25\u6563\u6027\u8840\u7ba1\u5185\u51dd\u8840\u8bca\u65ad\u4e0e\u6cbb\u7597\u4e2d\u56fd\u4e13\u5bb6\u5171\u8bc6\uff082012 \u5e74\u7248\uff09\u300b\u63d0\u5230\uff1aDIC \u7684\u5b9e\u9a8c\u5ba4\u68c0\u67e5\u5305\u62ec\u4e24\u65b9\u9762\uff1a\u4e00\u662f\u53cd\u6620\u51dd\u8840\u56e0\u5b50\u6d88\u8017\u7684\u8bc1\u636e\uff0c\u5305\u62ec PT\u3001APTT\u3001\u7ea4\u7ef4\u86cb\u767d\u539f\u6d53\u5ea6\u53ca\u8840\u5c0f\u677f\u8ba1\u6570\uff1b\u4e8c\u662f\u53cd\u6620 DIC \u7ea4\u6eb6\u7cfb\u7edf\u6d3b\u5316\u7684\u8bc1\u636e\uff1a\u5305\u62ec FDPs\u3001D-\u4e8c\u805a\u4f53\u30013P \u8bd5\u9a8c\u3002\u8be5\u5171\u8bc6\u8868\u660e\uff0cDIC \u5b9e\u9a8c\u5ba4\u68c0\u67e5\u8bca\u65ad\u6807\u51c6\u5305\u542b\uff1a<\/p>\n

1\uff09PLT < 100 x 109<\/sup>\/L \u6216\u8fdb\u884c\u6027\u4e0b\u964d\u3002<\/p>\n

2\uff09\u8840\u6d46\u7ea4\u7ef4\u86cb\u767d\u539f\u542b\u91cf < 1.5 g \/L \u6216\u8fdb\u884c\u6027\u4e0b\u964d\uff0c\u6216 > 4 g \/L\u3002<\/p>\n

3\uff09\u8840\u6d46 FDP > 20 mg\/L\uff0c\u6216 D-\u4e8c\u805a\u4f53\u6c34\u5e73\u5347\u9ad8\u6216\u9633\u6027\uff0c\u6216 3P \u8bd5\u9a8c\u9633\u6027\u3002<\/p>\n

4\uff09PT \u7f29\u77ed\u6216\u5ef6\u957f 3s \u4ee5\u4e0a\uff0c\u6216 APTT \u7f29\u77ed\u6216\u5ef6\u957f 10 s \u4ee5\u4e0a<\/p>\n

FDP \u6c34\u5e73\u5347\u9ad8\uff0c\u5219\u53cd\u6620\u673a\u4f53\u7ea4\u6eb6\u6d3b\u6027\u7684\u603b\u4f53\u6c34\u5e73\uff1b\u4f53\u5185 D-\u4e8c\u805a\u4f53\u6c34\u5e73\u5347\u9ad8\uff0c\u5219\u53cd\u6620\u51dd\u8840\u53ca\u7ea4\u6eb6\u7cfb\u7edf\u7684\u53cc\u91cd\u6fc0\u6d3b\uff0c\u6709\u8f83\u9ad8\u7684\u7279\u5f02\u6027\u3002\u5728\u8bca\u65ad DIC \u65f6\uff0cD-\u4e8c\u805a\u4f53\u654f\u611f\u6027\u8f83\u4f4e\uff0c\u7279\u5f02\u6027\u8f83\u9ad8\uff0c\u800c FDP \u654f\u611f\u6027\u8f83\u9ad8\u4f46\u7279\u5f02\u6027\u8f83\u4f4e\u3002\u4e34\u5e8a\u4e0a\u8054\u5408\u68c0\u6d4b D-\u4e8c\u805a\u4f53\u548c FDP\uff0c\u4e24\u8005\u76f8\u4e92\u8865\u5145\uff0c\u63d0\u9ad8\u8bca\u65ad DIC \u7684\u654f\u611f\u6027\u548c\u7279\u5f02\u6027\uff0c\u4fbf\u4e8e\u65e9\u671f\u51c6\u786e\u5730\u8bca\u65ad DIC\u3002<\/p>\n

\u2777 D-\u4e8c\u805a\u4f53 & FDP \u5728 VTE \u8bca\u65ad\u4e2d\u7684\u4ef7\u503c<\/p>\n

\u300a\u5987\u79d1\u624b\u672f\u540e\u6df1\u9759\u8109\u8840\u6813\u5f62\u6210\u53ca\u80ba\u6813\u585e\u9884\u9632\u4e13\u5bb6\u5171\u8bc6\u300b\uff082017 \u5e74\uff09\u63d0\u5230\uff1aD-\u4e8c\u805a\u4f53\u7528\u4e8e\u8bca\u65ad\u6df1\u9759\u8109\u8840\u6813\uff08DVT\uff09\u7684\u9633\u6027\u9884\u6d4b\u503c\u4e3a 31.0%\uff0c\u9634\u6027\u9884\u6d4b\u503c\u4e3a 98.6%\uff0c\u5176\u9634\u6027\u9884\u6d4b\u503c\u66f4\u5177\u4e34\u5e8a\u610f\u4e49\uff0c\u53ef\u4f5c\u4e3a DVT \u6216\u80ba\u6813\u585e\uff08PE\uff09\u7684\u6392\u9664\u8bca\u65ad\u6807\u51c6\u3002<\/p>\n

PE \u548c DVT \u662f\u540c\u4e00\u75be\u75c5\u9759\u8109\u8840\u6813\u5728\u4e0d\u540c\u810f\u5668\u4e2d\u7684\u8868\u73b0\u3002\u4e34\u5e8a\u4e0a\uff0c\u5728\u8bca\u65ad DVT \u65f6\u5fc5\u987b\u8981\u8003\u8651 PE\uff0c\u5728\u8bca\u65ad PE \u65f6\u5fc5\u987b\u8981\u8003\u8651 DVT\uff0c\u9632\u6b62\u6f0f\u8bca\u548c\u8bef\u8bca\u3002\u800c\u9759\u8109\u8840\u6813\u6813\u585e\u75c7\uff08VTE\uff09\u65f6\uff0c\u7531\u4e8e\u7ee7\u53d1\u7ea4\u6eb6\u4ea2\u8fdb\uff0cFDP \u4f34\u968f D-\u4e8c\u805a\u4f53\u5747\u589e\u9ad8\u3002\u56e0\u6b64\u4e8c\u8005\u8054\u5408\u68c0\u6d4b\uff0c\u5bf9 VTE \u7684\u8bca\u65ad\u5177\u6709\u4e00\u5b9a\u4ef7\u503c\u3002<\/p>\n

\u2778 D-\u4e8c\u805a\u4f53 & FDP \u5728\u6025\u6027\u8111\u6897\u6b7b\u8bca\u7597\u4e2d\u7684\u5e94\u7528<\/p>\n

\u5728\u6025\u6027\u8111\u6897\u6b7b\uff08ACI\uff09\u7684\u53d1\u75c5\u3001\u8fdb\u5c55\u548c\u8f6c\u5f52\u8fc7\u7a0b\u4e2d\uff0c\u51dd\u8840\u7ea4\u6eb6\u7cfb\u7edf\u5931\u8861\u53d1\u6325\u4e86\u4e3b\u8981\u4f5c\u7528\u3002\u5728\u8111\u6897\u6b7b\u65e9\u671f\uff0c\u8111\u8840\u7ba1\u5185\u76ae\u7ec6\u80de\u88ab\u635f\u4f24\uff0c\u8840\u5c0f\u677f\u6d3b\u5316\uff0c\u7ea4\u6eb6\u6d3b\u6027\u964d\u4f4e\uff0c\u8fdb\u800c\u5bfc\u81f4\u8840\u6d41\u901f\u5ea6\u51cf\u7f13\u3001\u8840\u7ba1\u7ba1\u8154\u72ed\u7a84\u4e43\u81f3\u95ed\u585e\u3002<\/p>\n

\u7814\u7a76\u8868\u660e\uff0cACI \u60a3\u8005\u8840\u6d46 D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u5f02\u5e38\u8868\u660e\u60a3\u8005\u5b58\u5728\u51dd\u8840-\u7ea4\u6eb6\u7cfb\u7edf\u5f02\u5e38\uff0cD-\u4e8c\u805a\u4f53\u662f\u4ea4\u8054\u7ea4\u7ef4\u86cb\u767d\u7ecf\u7ea4\u6eb6\u9176\u964d\u89e3\u540e\u7684\u7279\u5f81\u6027\u4ea7\u7269\uff0c\u5176\u8840\u6d46\u4e2d\u6c34\u5e73\u5347\u9ad8\u63d0\u793a\u5b58\u5728\u8840\u7ba1\u8840\u6813\u5f62\u6210\u548c\u7ee7\u53d1\u6027\u7ea4\u6eb6\uff0c\u662f\u8bca\u65ad\u8840\u6813\u6027\u75be\u75c5\u3001\u6307\u793a\u8840\u6db2\u9ad8\u51dd\u72b6\u6001\u7684\u91cd\u8981\u6307\u6807\u3002FDP \u5728\u8840\u6813\u5f62\u6210\u3001\u52a8\u8109\u7ca5\u6837\u786c\u5316\u53d1\u5c55\u8fc7\u7a0b\u4e2d\u53d1\u6325\u4e86\u91cd\u8981\u4f5c\u7528\uff0c\u662f\u7ea4\u6eb6\u4ea2\u8fdb\u7684\u6807\u5fd7\u5206\u5b50\u3002<\/p>\n

\u56e0\u6b64\u89c2\u5bdf ACI \u60a3\u8005\u8840\u6d46 D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u80fd\u591f\u638c\u63e1\u60a3\u8005\u4f53\u5185\u8840\u6813\u5f62\u6210\u72b6\u51b5\u4ee5\u53ca\u8840\u7ba1\u5185\u76ae\u7ec6\u80de\u7684\u635f\u4f24\u60c5\u51b5\uff0c\u5bf9\u4e8e ACI \u7684\u4e34\u5e8a\u8bca\u65ad\u3001\u6cbb\u7597\u3001\u9884\u540e\u5224\u5b9a\u5747\u6709\u79ef\u6781\u610f\u4e49\u3002<\/p>\n

\u8868 1 \u4e0d\u540c\u75c5\u60c5 ACI \u60a3\u8005\u7684\u8840\u6d46 D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u6bd4\u8f83<\/p>\n

\u2779 D-\u4e8c\u805a\u4f53 & FDP \u5728 APE \u4e2d\u7684\u5e94\u7528<\/p>\n

\u6025\u6027\u80ba\u6813\u585e\uff08APE\uff09\u662f\u4e34\u5e8a\u5e38\u89c1\u4e14\u76f4\u63a5\u5a01\u80c1\u60a3\u8005\u751f\u547d\u7684\u5fc3\u8840\u7ba1\u75be\u75c5\u4e4b\u4e00\uff0c\u56e0\u5176\u4e34\u5e8a\u8868\u73b0\u8d77\u75c5\u9690\u533f\u800c\u590d\u6742\uff0c\u5f88\u5bb9\u6613\u9020\u6210\u5bf9\u6f0f\u8bca\u3001\u751a\u81f3\u8bef\u8bca\u3002\u5f53 APE \u5728\u4f53\u5185\u53d1\u751f\u65f6\uff0c\u8840\u6813\u7ea4\u7ef4\u86cb\u767d\u5728\u7ea4\u7ef4\u86cb\u767d\u9176\u7684\u4f5c\u7528\u4e0b\u6eb6\u89e3\u53ef\u4f7f\u8840\u6d46 D-\u4e8c\u805a\u4f53\u6c34\u5e73\u8fc5\u901f\u5347\u9ad8\uff0c\u4f46\u6613\u53d7\u5176\u4ed6\u56e0\u7d20\u5f71\u54cd\u5bfc\u81f4\u7279\u5f02\u5ea6\u504f\u4f4e\u3002<\/p>\n

\u6709\u7814\u7a76\u5bf9 D-\u4e8c\u805a\u4f53\u548c FDP \u7684\u8054\u5408\u68c0\u6d4b\u5728 APE \u4e2d\u7684\u5e94\u7528\u4ef7\u503c\u8bc4\u4f30\uff0c\u53d1\u73b0\uff1a<\/p>\n

1\uff09\u968f\u7740 APE \u5371\u9669\u5206\u7ea7\u7684\u9012\u589e\uff0cD-\u4e8c\u805a\u4f53\u6c34\u5e73\u663e\u8457\u5347\u9ad8\uff0c\u5916\u5468\u8840\u8840\u6d46 D-\u4e8c\u805a\u4f53\u4e0e APE \u60a3\u8005\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\u5448\u6b63\u76f8\u5173\uff0c\u540c\u65f6\u4f34\u968f\u7740\u6b7b\u4ea1\u98ce\u9669\u7684\u52a0\u5927\u3002<\/p>\n

2\uff09\u6839\u636e 6 \u4e2a\u6708\u4e34\u5e8a\u8f6c\u5f52\u6bd4\u8f83\u53ca\u76f8\u5173\u6027\u5206\u6790\u63d0\u793a\uff0cAPE \u60a3\u8005\u8840\u6d46 D-\u4e8c\u805a\u4f53\u4e0e FDP \u5448\u6b63\u76f8\u5173\uff0c\u5373\u8840\u6d46 D-\u4e8c\u805a\u4f53\u6c34\u5e73\u8d8a\u9ad8\uff0c\u76f8\u5e94 FDP \u6c34\u5e73\u4e5f\u8d8a\u9ad8\uff0c\u75c5\u60c5\u8d8a\u5371\u91cd\u3002<\/p>\n

3\uff09\u901a\u8fc7\u505a\u5916\u5468\u8840\u8840\u6d46 D-\u4e8c\u805a\u4f53\u548c FDP \u6307\u6807 ROC \u66f2\u7ebf\uff0c\u8868\u660e\u4e8c\u8005\u8054\u5408\u68c0\u6d4b\u65f6\u53ef\u63d0\u9ad8\u5bf9 APE \u60a3\u8005\u7684\u75c5\u60c5\u4e25\u91cd\u7a0b\u5ea6\u53ca\u9884\u540e\u7684\u51c6\u786e\u6027\u3002\u540c\u65f6\u8840\u6d46 D-\u4e8c\u805a\u4f53\u8054\u5408 FDP \u8bc4\u4f30 APE \u60a3\u8005 6 \u4e2a\u6708\u9884\u540e\u53ef\u63d0\u9ad8\u7075\u654f\u5ea6\uff0c\u4f46\u7279\u5f02\u5ea6\u7a0d\u5dee\u3002<\/p>\n<\/p>\n

\u56fe 1 D-\u4e8c\u805a\u4f53\u3001FDP \u53ca\u4e8c\u8005\u8054\u5408\u5224\u65ad APE \u60a3\u8005 6 \u4e2a\u6708\u751f\u5b58\u72b6\u51b5\u7684 ROC \u66f2\u7ebf<\/p>\n

\u277a D-\u4e8c\u805a\u4f53 & FDP \u6709\u52a9\u4e8e\u6eb6\u6813\u6cbb\u7597\u76d1\u6d4b<\/p>\n

\u5728\u6eb6\u6813\u836f\u7269\uff08SK\u3001UK\u3001t-PA \u7b49\u7684\uff09\u4f5c\u7528\u4e0b\uff0c\u8840\u7ba1\u5185\u7684\u6813\u5b50\u88ab\u8fc5\u901f\u6eb6\u89e3\uff0c\u8840\u6d46\u4e2d D-\u4e8c\u805a\u4f53\u548c FDP \u660e\u663e\u589e\u9ad8\uff0c\u4e00\u822c\u53ef\u6301\u7eed 7 \u5929\u3002\u5728\u6cbb\u7597\u8fc7\u7a0b\u4e2d\uff0c\u5982\u679c\u6eb6\u8840\u6813\u836f\u7269\u7528\u91cf\u4e0d\u8db3\uff0c\u8840\u6813\u672a\u80fd\u5b8c\u5168\u6eb6\u89e3\uff0cD-\u4e8c\u805a\u4f53\u548c FDP \u5728\u8fbe\u5cf0\u540e\u4f1a\u7ef4\u6301\u5728\u8f83\u9ad8\u6c34\u5e73\uff1b\u800c\u6eb6\u8840\u6813\u836f\u7269\u7528\u91cf\u8fc7\u5927\uff0c\u4f1a\u589e\u52a0\u51fa\u8840\u7684\u5371\u9669\u3002<\/p>\n

\u56e0\u6b64\uff0c\u5bf9\u8840\u6813\u6027\u75be\u75c5\u60a3\u8005\uff0c\u5728\u6eb6\u8840\u6813\u8fc7\u7a0b\u4e2d\u4e8e\u7528\u836f\u524d\u3001\u4e2d\u3001\u540e\u52a8\u6001\u68c0\u6d4b D-\u4e8c\u805a\u4f53\u548c FDP \u6d53\u5ea6\u53d8\u5316\u5bf9\u76d1\u6d4b\u6eb6\u6813\u836f\u7269\u7684\u6548\u679c\u548c\u5b89\u5168\u6027\u5177\u6709\u8f83\u5927\u7684\u4e34\u5e8a\u4ef7\u503c\u3002<\/p>\n

\u277b D-\u4e8c\u805a\u4f53 & FDP \u6709\u52a9\u4e8e\u8bca\u65ad\u7ea4\u6eb6\u4ea2\u8fdb\u548c\u8840\u6813\u5f62\u6210<\/p>\n

FDP \u662f\u7ea4\u7ef4\u86cb\u767d\u539f\u7684\u964d\u89e3\u4ea7\u7269\u7247\u6bb5\uff0c\u4f53\u73b0\u7740\u673a\u4f53\u7ea4\u6eb6\u7cfb\u7edf\u6fc0\u6d3b\u60c5\u51b5\uff0c\u5373\u53cd\u6620\u539f\u53d1\u6027\u7ea4\u6eb6\u4ea2\u8fdb\u4e5f\u53cd\u6620\u7ee7\u53d1\u6027\u7ea4\u6eb6\u4ea2\u8fdb\u3002D-\u4e8c\u805a\u4f53\u548c FDP \u68c0\u6d4b\u53ef\u4f5c\u4e3a\u7ea4\u6eb6\u7cfb\u7edf\u6d3b\u6027\u7684\u7b5b\u67e5\u8bd5\u9a8c\uff0c\u7531\u4e8e\u7ea4\u6eb6\u8fc7\u5ea6\u6240\u81f4\u7684\u51fa\u8840\u591a\u6570\u662f\u7531\u539f\u53d1\u6027\u6216\u7ee7\u53d1\u6027\u539f\u56e0\u6240\u5f15\u8d77\uff0c\u5176\u68c0\u6d4b\u7ed3\u679c\u5206\u6790\u89c1\u4e0b\u8868\uff1a<\/p>\n

\u8868 2 \u4e0d\u540c D-\u4e8c\u805a\u4f53\u548c FDP \u68c0\u6d4b\u7ed3\u679c\u7684\u4e34\u5e8a\u610f\u4e49<\/p>\n

\u53e6\u5916\uff0c\u6709\u7814\u7a76\u901a\u8fc7\u68c0\u6d4b\u5371\u91cd\u60a3\u8005\u8840\u6d46\u7ea4\u7ef4\u86cb\u767d\u76f8\u5173\u6807\u5fd7\u7269\uff08FRMs\uff09\uff0c\u5305\u542b\u53ef\u6eb6\u6027\u7ea4\u7ef4\u86cb\u767d\uff08SF\uff09\u3001D-\u4e8c\u805a\u4f53\u3001\u7ea4\u7ef4\u86cb\u767d\u539f\u548c FDP \u6c34\u5e73\uff0c\u7528\u4e8e DIC\u3001\u9759\u8109\u8840\u6813\u6813\u585e\u3001\u6025\u6027\u5fc3\u808c\u6897\u6b7b\u548c\u6025\u6027\u8111\u6897\u6b7b\u7684\u8bca\u65ad\u53d1\u73b0\uff1a<\/p>\n

1\uff09D-\u4e8c\u805a\u4f53\u548c FDP\uff0c\u53ef\u7528\u4e8e\u8bca\u65ad\u7ea4\u6eb6\u4ea2\u8fdb\u548c\u8840\u6813\u5f62\u6210\uff08\u5982 DIC\uff09\u3002<\/p>\n

2\uff09FDP\/SF \u548c FDP\/ D-\u4e8c\u805a\u4f53\u6bd4\u503c\u8868\u793a \u300c\u7ea4\u7ef4\u86cb\u767d\u548c\u7ea4\u7ef4\u86cb\u767d\u539f\u6eb6\u89e3 \/ \u51dd\u8840\u6bd4\u300d \u548c \u300c\u7ea4\u7ef4\u86cb\u767d\u548c\u7ea4\u7ef4\u86cb\u767d\u539f\u6eb6\u89e3 \/ \u7ea4\u6eb6\u6bd4\u300d\uff0c\u53ef\u7528\u4e8e\u8bc4\u4ef7\u7ea4\u6eb6\u80fd\u529b\u3001\u7ea4\u6eb6\u548c\u51dd\u8840\u5e73\u8861\u7b49\u3002<\/p>\n<\/p>\n

\u56fe 2 \u8840\u6813\u524d\u72b6\u6001\u548c\u8840\u6813\u5f62\u6210\u540e\u7efc\u5408\u5f81\u53d8\u5316\u793a\u610f\u56fe<\/p>\n

\u277c D-\u4e8c\u805a\u4f53 & FDP \u5728 COVID-19 \u4e2d\u7684\u5e94\u7528<\/p>\n

1\uff09\u4e0e\u975e\u91cd\u75c7 COVID-19 \u60a3\u8005\u76f8\u6bd4\uff0c\u91cd\u75c7 COVID-19 \u60a3\u8005\u7684 D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u663e\u8457\u66f4\u9ad8\u3002\u6b64\u5916\uff0c\u5728 ICU \u4f4f\u9662\u7684 COVID-19 \u60a3\u8005\u4e2d\uff0c\u7ea4\u7ef4\u86cb\u767d\u539f\u3001D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u660e\u663e\u9ad8\u4e8e\u975e ICU \u60a3\u8005\u3002<\/p>\n

2\uff09D-\u4e8c\u805a\u4f53\u548c FDP \u53ef\u4f5c\u4e3a COVID-19 \u60a3\u8005\u75c5\u60c5\u4e25\u91cd\u7684\u9884\u6d4b\u6307\u6807\uff0c\u5176\u6c34\u5e73\u8fde\u7eed\u5347\u9ad8\u60a3\u8005\u8fdb\u5c55\u81f3\u7ec8\u672b\u671f\u7684\u98ce\u9669\u589e\u52a0\u3002<\/p>\n

3\uff09\u5b9a\u671f\u5b9e\u9a8c\u5ba4\u76d1\u6d4b D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u53ef\u4ee5\u534f\u52a9\u4e34\u5e8a\u75be\u75c5\u8bca\u7597\uff0c\u5982\u662f\u5426\u9700\u8981\u542f\u52a8\u6297\u51dd\u9884\u9632\u65b9\u6848\u7b49\u3002<\/p>\n<\/p>\n

\u56fe 3 \u975e\u91cd\u75c7\u3001\u91cd\u75c7 COVID-19 \u60a3\u8005 D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u5dee\u5f02\u7684\u68ee\u6797\u56fe<\/p>\n

\u277d D-\u4e8c\u805a\u4f53\u548c FDP \u5728\u598a\u5a20\u8fc7\u7a0b\u4e2d\u7684\u4e34\u5e8a\u4ef7\u503c<\/p>\n

\u7531\u4e8e\u5b55\u5987\u7684\u8840\u6db2\u5904\u4e8e\u4e00\u79cd\u9ad8\u51dd\u72b6\u6001\uff0c\u4ece\u800c\u523a\u6fc0\u7ea4\u6eb6\u7cfb\u7edf\u4ee3\u507f\u6027\u589e\u9ad8\uff0c\u4ee5\u4fdd\u6301\u51dd\u8840\u7cfb\u7edf\u4e00\u7ea4\u6eb6\u7cfb\u7edf\u7684\u52a8\u6001\u5e73\u8861\uff0c\u56e0\u6b64\u5b55\u5987\u7684 D-\u4e8c\u805a\u4f53\u548c FDP \u542b\u91cf\u5e38\u5e38\u5347\u9ad8\u3002<\/p>\n

\u7814\u7a76\u8868\u660e\uff0c\u8054\u5408\u68c0\u6d4b\u5b55\u4ea7\u5987\u8840\u6d46 D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\uff0c\u80fd\u66f4\u6709\u6548\u5730\u9884\u6d4b\u5e76\u65e9\u671f\u53d1\u73b0 DIC\u3002\u5728\u6392\u9664\u539f\u53d1\u57fa\u7840\u75c5\u3001\u5185\u79d1\u75be\u75c5\u548c\u80bf\u7624\u7b49\u5916\uff0c\u8fd8\u9700\u5bc6\u5207\u89c2\u5bdf\u51dd\u8840\u529f\u80fd\u3001D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u7b49\uff0c\u5c24\u5176 D-\u4e8c\u805a\u4f53 > 8000 ng\/mL\uff0cFDP > 7.0 ug\/mL \u65f6\uff0c\u8981\u9ad8\u5ea6\u8b66\u60d5 DIC \u7684\u53d1\u751f\uff0c\u5fc5\u8981\u65f6\u53ef\u9002\u5f53\u884c\u5e72\u9884\u6cbb\u7597\uff0c\u964d\u4f4e\u5b55\u4ea7\u5987 DIC \u7684\u53d1\u75c5\u7387\u548c\u6b7b\u4ea1\u7387\u3002<\/p>\n

\u8868 3 \u5404\u7ec4\u95f4 D-\u4e8c\u805a\u4f53\u548c FDP \u6c34\u5e73\u4e24\u4e24\u6bd4\u8f83<\/p>\n

\u79d1\u5b66\u5ba1\u6838\u526f\u4e3b\u4efb\u533b\u5e08 \u5f20\u5728\u52c7\u5e7f\u5dde\u533b\u79d1\u5927\u5b66\u9644\u5c5e\u5e02\u516b\u533b\u9662 \u5fc3\u8840\u7ba1\u5185\u79d1\u4e3b\u4efb\u9996\u53d1\uff1a\u4e01\u9999\u56ed\u68c0\u9a8c\u65f6\u95f4<\/p>\n","protected":false},"excerpt":{"rendered":"

\u7ea4\u7ef4\u86cb\u767d\u539f\u964d\u89e3\u4ea7\u7269\uff08FDP\uff09\u662f\u5728\u7ea4\u6eb6\u4ea2\u8fdb\u65f6\u4ea7\u751f\u7684\u7ea4\u6eb6\u9176\u4f5c\u7528\u4e0b\uff0c\u7ea4\u7ef4\u86cb\u767d\u6216\u7ea4\u7ef4\u86cb\u767d … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-62537","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/62537","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=62537"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/62537\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=62537"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=62537"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=62537"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}