Detection Of Red Blood Cell Distribution Width, Uric Acid And D-dimer In Patients With Pulmonary Embolism And Prognosis Of The Clinical Significance

Objective Acute Pulmonary Embolism is one of the common medical emergency, dangerous and with high incidence rate. This paper discusses the value of detection of RDW、UA and D-dimer in diagnosis, and prognosis of the patients with Acute Pulmonary Embolism.Methods We collected 62 patients(male 20,female 42) which Acute Pulmonary Embolism were diagnosed, and divided into three groups according to the Chinese guides of Acute Pulmonary Embolism :(1)Group of high-risk PE(Group A,11patients).(2)Groupofmoderate-risk PE(Group B,16patients).(3)Group of low-risk PE(Group C, 35patients).Records the levels of RDW、UA and D-dimer when the patients arrived.Results(1)The levels of RDW、UA were much higher in group A and B than group C. The levels of RDW、UA in group A were also much higher than group B(P<0.05). The levels of RDW、UA in death group were also much higher than non death group(P<0.05).(2)Three groups of D-dimer levels were significantly higher(compared with normal reference values),but the difference was not statistically significant. The levels of D-dimer in death group were not statistically significant than non death group.Conclusions Pulmonary embolism patients, who have higher RDW、UA levels, the risk stratification of patients is much higher,the mortality is much higher. For patients with acute pulmonary embolism RDW、UA examination can help in the severity and prognosis.But for patients with acute pulmonary embolism D-dimer examination can not help in the severity and prognosis.