D-dimer yog ib yam khoom uas ua rau cov fibrin lwj, uas feem ntau siv rau hauv kev kuaj ntshav coagulation. Nws cov qib ib txwm yog 0-0.5mg / L. Qhov nce ntawm D-dimer tej zaum yuav muaj feem cuam tshuam nrog cov yam ntxwv ntawm lub cev xws li cev xeeb tub, lossis nws muaj feem cuam tshuam nrog cov yam ntxwv pathological xws li cov kab mob thrombotic, cov kab mob sib kis, thiab cov qog nqaij hlav phem. Nws raug pom zoo kom cov neeg mob mus rau lub tsev kho mob lub chaw kho mob hematology kom tau txais kev kho mob raws sijhawm.

1. Cov yam ntxwv ntawm lub cev:
Thaum cev xeeb tub, cov tshuaj hormones hauv lub cev yuav hloov pauv, uas tuaj yeem ua rau lub fibrin puas tsuaj los tsim D-dimer, uas tuaj yeem ua rau D-dimer nce ntxiv hauv cov ntshav, tab sis feem ntau nws nyob hauv qhov ntau lossis nce me ntsis, uas yog ib qho xwm txheej ib txwm muaj thiab feem ntau tsis xav tau kev kho mob tshwj xeeb.

2. Cov yam ntxwv mob nkeeg:
1. Kab mob Thrombotic: Yog tias muaj kab mob thrombotic hauv lub cev, xws li cov leeg ntshav tob thrombosis, pulmonary embolism, thiab lwm yam, nws yuav ua rau cov ntshav ua haujlwm tsis zoo, ua rau cov ntshav nyob rau hauv lub xeev hypercoagulable, thiab txhawb nqa lub cev fibrinolytic hyperactivity, ua rau D-dimerization. Kev nce ntawm cov khoom fibrin degradation xws li lub cev thiab lwm yam fibrin, uas ua rau D-dimer nce ntxiv hauv cov ntshav. Lub sijhawm no, nyob rau hauv kev taw qhia ntawm tus kws kho mob, recombinant streptokinase rau kev txhaj tshuaj, urokinase rau kev txhaj tshuaj thiab lwm yam tshuaj tuaj yeem siv rau kev kho mob kom tiv thaiv thrombus tsim;

2. Cov kab mob sib kis: Yog tias muaj kev kis kab mob hnyav hauv lub cev, xws li sepsis, cov kab mob pathogenic hauv cov ntshav yuav loj hlob sai hauv lub cev, nkag mus rau hauv cov nqaij thiab cov kab mob ntawm tag nrho lub cev, rhuav tshem cov kab mob me me, thiab tsim cov capillary thrombosis hauv tag nrho lub cev. Nws yuav ua rau muaj kev sib kis ntawm cov hlab ntsha thoob plaws lub cev, txhawb kev txhim kho ntawm kev ua haujlwm fibrinolytic hauv lub cev, thiab ua rau muaj kev nce ntxiv ntawm D-dimer hauv cov ntshav. Lub sijhawm no, tus neeg mob tuaj yeem siv cov tshuaj tiv thaiv kev kis kab mob xws li cefoperazone sodium thiab sulbactam sodium rau kev txhaj tshuaj raws li tus kws kho mob qhia.

3. Cov qog nqaij hlav phem: Cov qog nqaij hlav phem yuav tso tawm cov tshuaj procoagulant, ua rau cov ntshav txhaws hauv cov hlab ntsha, thiab tom qab ntawd ua rau lub cev fibrinolytic ua haujlwm, ua rau D-dimer ntau ntxiv hauv cov ntshav. Lub sijhawm no, kev txhaj tshuaj paclitaxel, Kev kho mob chemotherapy nrog kev txhaj tshuaj xws li cisplatin. Tib lub sijhawm, koj tuaj yeem ua phais kom tshem tawm cov qog nqaij hlav raws li tus kws kho mob cov lus qhia, uas yog qhov zoo rau kev rov zoo ntawm tus kab mob.