D-dimer bụ ngwaahịa na-emebi emebi nke fibrin, nke a na-ejikarị eme ihe n'ule ọrụ coagulation. Ọkwa nkịtị ya bụ 0-0.5mg/L. Mmụba nke D-dimer nwere ike ịbụ ihe metụtara ahụike dịka afọ ime, ma ọ bụ Ọ metụtara ihe ndị na-akpata ọrịa dịka ọrịa thrombosis, ọrịa na-efe efe, na etuto ọjọọ. A na-atụ aro ka ndị ọrịa gaa na ngalaba hematology nke ụlọ ọgwụ maka ọgwụgwọ n'oge.

1. Ihe ndị dị na ahụ mmadụ:
N'oge afọ ime, ọkwa homonụ n'ahụ ga-agbanwe, nke nwere ike ịkpalite mmebi nke fibrin iji mepụta D-dimer, nke nwere ike ibute mmụba nke D-dimer n'ọbara, mana ọ na-adịkarị n'ogo nkịtị ma ọ bụ mụbaa ntakịrị, nke bụ ihe a na-ahụkarị n'ahụ mmadụ ma ọ naghị achọ ọgwụgwọ pụrụ iche.

2. Ihe ndị na-akpata ọrịa:
1. Ọrịa Thrombotic: Ọ bụrụ na enwere ọrịa thrombotic n'ahụ, dịka thrombosis nke akwara miri emi, pulmonary embolism, wdg, ọ nwere ike ibute ọrụ ọbara na-adịghị mma, mee ka ọbara ahụ dị ka hypercoagulable, ma kpalite oke ọrụ nke sistemu fibrinolytic, na-ebute D-dimerization. Mmụba nke ngwaahịa mbibi fibrin dịka ahụ na fibrin ndị ọzọ, nke na-eduga na mmụba nke D-dimer n'ọbara. N'oge a, n'okpuru nduzi nke dọkịta, enwere ike iji streptokinase recombinant maka ịgba ọgwụ, urokinase maka ịgba ọgwụ na ọgwụ ndị ọzọ maka ọgwụgwọ iji gbochie mmepụta thrombus;

2. Ọrịa ndị na-efe efe: Ọ bụrụ na e nwee nnukwu ọrịa n'ahụ, dịka sepsis, nje ndị na-akpata ọrịa n'ọbara na-amụba ngwa ngwa n'ahụ, na-awakpo anụ ahụ na akụkụ ahụ niile, na-ebibi sistemụ microvascular, ma na-emepụta thrombosis capillary n'ahụ dum. Ọ ga-eduga na coagulation intravascular gbasaara n'ahụ dum, na-akpali mmụba nke ọrụ fibrinolytic n'ahụ, ma na-akpata mmụba nke D-dimer n'ọbara. N'oge a, onye ọrịa nwere ike iji ọgwụ mgbochi-infective dị ka cefoperazone sodium na sulbactam sodium maka ịgba ọgwụ dịka dọkịta gwara ya. ;

3. Ọrịa kansa: Mkpụrụ ndụ kansa ga-ewepụta ihe na-eme ka coagulant dị, kpalite mmepe nke thrombus n'ime arịa ọbara, wee mee ka sistemụ fibrinolytic rụọ ọrụ, nke na-eme ka D-dimer dịkwuo elu n'ọbara. N'oge a, a na-enye paclitaxel injection, Chemotherapy site na iji ọgwụ dịka cisplatin. N'otu oge ahụ, ị ​​nwekwara ike ịwa ahụ iji wepụ ọrịa ahụ dịka ndụmọdụ dọkịta si dị, nke na-enyere aka ịgbake ọrịa ahụ.