期刊
CLINICA CHIMICA ACTA
卷 425, 期 -, 页码 176-180出版社
ELSEVIER
DOI: 10.1016/j.cca.2013.08.006
关键词
D-dimer; Venous thromboembolism; Pregnancy; Postpartum; Reference interval
资金
- Program for Key Innovative Research Team in Science & Technology of Zhejiang Province, P. R. China
Background: Pregnant women are at a hyper-coagulable state with a higher risk of deep venous thromboembolism (VTE) and disseminated intravascular coagulation (DIC), which could be life threatening. We established gestational age-specific reference intervals for D-dimer, and estimate the role of D-dimer test in ruling out VTE and DIC in pregnant women. Methods: We followed 1343 healthy pregnant women and 1042 uncomplicated postpartum women to establish gestational age-specific reference intervals of D-dimer during normal pregnancy. Eighty uncomplicated non-pregnant women were chosen as control group. D-dimer testing was also performed among the patients with pregnancy-related complications. Results: D-dimer concentration increased progressively during the pregnancy and peaked at the first postpartum day, and then it began to decrease steadily and reach to non-pregnant concentrations on the 42nd postpartum day. The results of several cases that had clinical suspicion of VTE were compared with those of the reference group. Conclusions: The study provides reference intervals of D-dimer during the pregnancy and postpartum period for women of Chinese Han ethnicity using latex-based immunoturbidimetry on the STA-R evolution coagulation analyzer. Further studies are needed to validate these reference ranges and assess the clinical utility of the reference intervals for D-dimer. (C) 2013 Elsevier B.V. All rights reserved.
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