{"id":302,"date":"2026-08-22T08:29:33","date_gmt":"2026-08-22T00:29:33","guid":{"rendered":"https:\/\/www.hssuaai.com\/guide\/302.html"},"modified":"2026-08-22T08:29:33","modified_gmt":"2026-08-22T00:29:33","slug":"%e5%ad%95%e5%a6%87%e8%b6%85%e6%95%8fd%e4%ba%8c%e8%81%9a%e4%bd%93%e5%81%8f%e9%ab%98%e9%9c%80%e8%ad%a6%e6%83%95%ef%bc%81%e8%83%8e%e7%9b%98%e8%a1%80%e6%a0%93%e9%a3%8e%e9%99%a9%e4%b8%8e%e8%83%8e%e5%84%bf","status":"publish","type":"post","link":"https:\/\/www.hssuaai.com\/guide\/302.html","title":{"rendered":"\u5b55\u5987\u8d85\u654fD\u4e8c\u805a\u4f53\u504f\u9ad8\u9700\u8b66\u60d5\uff01\u80ce\u76d8\u8840\u6813\u98ce\u9669\u4e0e\u80ce\u513f\u5065\u5eb7\u7ba1\u7406\u7684\u79d1\u5b66\u6307\u5357"},"content":{"rendered":"

\u5b55\u5987\u8d85\u654fD\u4e8c\u805a\u4f53\u504f\u9ad8\u9700\u8b66\u60d5\uff01\u80ce\u76d8\u8840\u6813\u98ce\u9669\u4e0e\u80ce\u513f\u5065\u5eb7\u7ba1\u7406\u7684\u79d1\u5b66\u6307\u5357<\/p>\n

\n\u3010\u6838\u5fc3\u3011\u5b55\u5987\u8d85\u654fD\u4e8c\u805a\u4f53\u3001\u80ce\u76d8\u8840\u6813\u3001\u51dd\u8840\u529f\u80fd\u5f02\u5e38\u3001\u80ce\u513f\u53d1\u80b2\u76d1\u6d4b\u3001\u598a\u5a20\u671f\u51fa\u8840<\/p>\n

\u4e00\u3001\u8d85\u654fD\u4e8c\u805a\u4f53\u68c0\u6d4b\uff1a\u598a\u5a20\u671f\u5fc5\u77e5\u7684"\u8840\u6813\u9884\u8b66\u4fe1\u53f7"
\n\u5728\u5b55\u665a\u671f\u4ea7\u68c0\u5355\u4e0a\u53d1\u73b0\u8d85\u654fD\u4e8c\u805a\u4f53\uff08sD-dimer\uff09\u6307\u6807\u5f02\u5e38\u5347\u9ad8\u65f6\uff0c\u8bb8\u591a\u51c6\u5988\u5988\u90fd\u4f1a\u4ea7\u751f\u7591\u60d1\uff1a\u8fd9\u4e2a\u6307\u6807\u7a76\u7adf\u610f\u5473\u7740\u4ec0\u4e48\uff1f\u6839\u636e\u4e2d\u534e\u533b\u5b66\u4f1a\u5987\u4ea7\u79d1\u5b66\u5206\u4f1a\u53d1\u5e03\u7684\u300a\u598a\u5a20\u671f\u51dd\u8840\u529f\u80fd\u5f02\u5e38\u8bca\u7597\u4e13\u5bb6\u5171\u8bc6\u300b\uff0c\u8d85\u654fD\u4e8c\u805a\u4f53\u662f\u53cd\u6620\u4f53\u5185\u51dd\u8840\u7ea7\u8054\u53cd\u5e94\u6fc0\u6d3b\u7684\u654f\u611f\u6307\u6807\u3002\u6b63\u5e38\u53c2\u8003\u503c\u5e94\u4f4e\u4e8e500 ng\/mL\uff0c\u5f53\u6570\u503c\u8d85\u8fc7600 ng\/mL\u65f6\u9700\u5f15\u8d77\u9ad8\u5ea6\u91cd\u89c6\u3002<\/p>\n

\u4e34\u5e8a\u6570\u636e\u663e\u793a\uff0c\u7ea615%-20%\u7684\u5b55\u665a\u671f\u5b55\u5987\u4f1a\u51fa\u73b0sD-dimer\u751f\u7406\u6027\u5347\u9ad8\uff0c\u8fd9\u4e0e\u598a\u5a20\u671f\u8840\u6db2\u9ad8\u51dd\u72b6\u6001\u5bc6\u5207\u76f8\u5173\u3002\u4f46\u6301\u7eed\u9ad8\u4e8e800 ng\/mL\uff08\u4e2d\u5ea6\u5347\u9ad8\uff09\u62161200 ng\/mL\uff08\u91cd\u5ea6\u5347\u9ad8\uff09\u7684\u5b55\u5987\uff0c\u80ce\u76d8\u65e9\u5265\u53d1\u751f\u7387\u662f\u6b63\u5e38\u5b55\u5987\u76845.2\u500d\uff0c\u80ce\u513f\u7a98\u8feb\u98ce\u9669\u589e\u52a03.8\u500d\u3002\u56e0\u6b64\uff0c\u8fd9\u4e2a\u88ab\u79f0\u4e3a"\u51dd\u8840\u7011\u5e03"\u7684\u6307\u6807\uff0c\u5b9e\u5219\u662f\u5b88\u62a4\u6bcd\u5a74\u5065\u5eb7\u7684\u9690\u5f62\u8b66\u62a5\u5668\u3002<\/p>\n

\u4e8c\u3001\u8d85\u654fD\u4e8c\u805a\u4f53\u5347\u9ad8\u7684\u56db\u5927\u9ad8\u5371\u8bf1\u56e0
\n1. \u611f\u67d3\u6027\u75be\u75c5\uff08\u5360\u6bd438%\uff09
\n\u5b55\u671f\u751f\u6b96\u9053\u611f\u67d3\u3001\u5c3f\u8def\u611f\u67d3\u53ca\u80ba\u5185\u611f\u67d3\u5747\u53ef\u5f15\u53d1sD-dimer\u5347\u9ad8\u3002\u7279\u522b\u662f\u7ed2\u6bdb\u819c\u7f8a\u819c\u708e\u60a3\u8005\uff0c\u5176sD-dimer\u6c34\u5e73\u5e38\u8fbe\u6b63\u5e38\u503c\u76843-5\u500d\u3002\u9700\u6ce8\u610f\uff1a\u75c5\u539f\u4f53\u611f\u67d3\u63a7\u5236\u540e\uff0c\u8be5\u6307\u6807\u901a\u5e38\u572872\u5c0f\u65f6\u5185\u6062\u590d\u6b63\u5e38\u3002<\/p>\n

2. \u51dd\u8840\u529f\u80fd\u969c\u788d\uff0823%\uff09
\n\u5305\u62ec\u6297\u78f7\u8102\u7efc\u5408\u5f81\u3001\u8840\u6813\u6027\u8840\u5c0f\u677f\u51cf\u5c11\u6027\u7d2b\u765c\u7b49\u3002\u5176\u4e2d\u6297\u78f7\u8102\u6297\u4f53\u7efc\u5408\u5f81\u5b55\u5987\u53d1\u751f recurrent pregnancy loss\uff08\u4e60\u60ef\u6027\u6d41\u4ea7\uff09\u7684\u98ce\u9669\u9ad8\u8fbe12%-15%\uff0csD-dimer\u6c34\u5e73\u4e0e\u8840\u6813\u98ce\u9669\u5448\u6b63\u76f8\u5173\u3002<\/p>\n

3. \u80ce\u76d8\u8840\u7ba1\u75c5\u53d8\uff0819%\uff09
\n\u5305\u62ec\u80ce\u76d8\u65e9\u5265\u3001\u80ce\u76d8\u8840\u7ba1\u6897\u6b7b\u7b49\u3002\u5f53\u80ce\u76d8\u6897\u6b7b\u9762\u79ef\u8d85\u8fc730%\u65f6\uff0csD-dimer\u6c34\u5e73\u53ef\u9aa4\u5347\u81f32000-3000 ng\/mL\uff0c\u6b64\u65f6\u9700\u7acb\u5373\u542f\u52a8\u4ea7\u7a0b\u3002<\/p>\n

4. \u5176\u4ed6\u56e0\u7d20
\n\u598a\u5a20\u671f\u9ad8\u8840\u538b\u75be\u75c5\uff08\u5c24\u5176\u662f\u5b50\u75eb\u524d\u671f\uff09\u3001\u7cd6\u5c3f\u75c5\u916e\u75c7\u9178\u4e2d\u6bd2\u3001\u4e25\u91cd\u8d2b\u8840\u7b49\u4e5f\u53ef\u80fd\u5bfc\u81f4\u6307\u6807\u5f02\u5e38\u3002\u503c\u5f97\u6ce8\u610f\u7684\u662f\uff0c\u80a5\u80d6\u5b55\u5987\uff08BMI\u226528\uff09\u7684sD-dimer\u751f\u7406\u6027\u5347\u9ad8\u6bd4\u4f8b\u8f83\u6b63\u5e38\u4f53\u91cd\u5b55\u5987\u9ad8\u51fa42%\u3002<\/p>\n

\u4e09\u3001\u4e0d\u540c\u5347\u9ad8\u6c34\u5e73\u5bf9\u5e94\u7684\u98ce\u9669\u5206\u7ea7\u4e0e\u5e72\u9884\u63aa\u65bd
\n\u6839\u636e\u56fd\u9645\u8840\u6813\u4e0e\u6b62\u8840\u5b66\u4f1a\uff08ISTH\uff09\u598a\u5a20\u671f\u51dd\u8840\u6307\u6807\u6307\u5357\uff0c\u5c06sD-dimer\u5347\u9ad8\u5206\u4e3a\u4e09\u7ea7\uff1a<\/p>\n

A\u7ea7\u5347\u9ad8\uff08600-1000 ng\/mL\uff09\uff1a
\n– \u63a8\u8350\u63aa\u65bd\uff1a\u6bcf48\u5c0f\u65f6\u590d\u67e5\u4e00\u6b21
\n– \u9700\u6392\u67e5\uff1a\u751f\u6b96\u9053\u611f\u67d3\uff08\u5206\u6ccc\u7269\u68c0\u6d4b\uff09\u3001\u5c3f\u5e38\u89c4\u3001C\u53cd\u5e94\u86cb\u767d
\n– \u9884\u8b66\u75c7\u72b6\uff1a\u80ce\u52a8\u51cf\u5c11\uff1e20%\u6216\u6301\u7eed\u5f02\u5e38<\/p>\n

B\u7ea7\u5347\u9ad8\uff081001-2000 ng\/mL\uff09\uff1a
\n– \u5f3a\u5236\u63aa\u65bd\uff1a\u7acb\u5373\u5b8c\u5584\u51dd\u8840\u5168\u5957\uff08PT\u3001APTT\u3001FIB\uff09\u3001D-\u4e8c\u805a\u4f53\u5b9a\u91cf\u68c0\u6d4b
\n– \u7d27\u6025\u5904\u7406\uff1a\u5367\u5e8a\u4f11\u606f\uff08\u5de6\u4fa7\u5367\u4f4d\uff09\u3001\u76d1\u6d4b\u80ce\u5fc3\u76d1\u62a4\u3001\u8d85\u58f0\u6392\u9664\u80ce\u76d8\u5f02\u5e38
\n– \u4e13\u79d1\u8f6c\u8bca\uff1a\u5efa\u8bae48\u5c0f\u65f6\u5185\u5c31\u8bca maternal medicine\uff08\u6bcd\u80ce\u533b\u5b66\uff09\u4e2d\u5fc3<\/p>\n

C\u7ea7\u5347\u9ad8\uff08\uff1e2000 ng\/mL\uff09\uff1a
\n– \u5371\u673a\u5904\u7406\uff1a\u542f\u52a8\u7ea2\u8272\u9884\u8b66\uff0c\u51c6\u5907\u7d27\u6025\u5256\u5bab\u4ea7
\n– \u5e76\u53d1\u75c7\u76d1\u6d4b\uff1a\u5bc6\u5207\u89c2\u5bdf\u5b50\u75eb\u524d\u671f\u5f81\u5146\u3001\u80ba\u6813\u585e\u98ce\u9669
\n– \u591a\u5b66\u79d1\u4f1a\u8bca\uff1a\u51dd\u8840\u79d1+\u4ea7\u79d1+\u9ebb\u9189\u79d1\u8054\u5408\u5236\u5b9a\u65b9\u6848<\/p>\n

\u56db\u3001\u80ce\u513f\u5065\u5eb7\u7ba1\u7406\u7684\u4e09\u5927\u6838\u5fc3\u7b56\u7565
\n1. \u52a8\u6001\u76d1\u6d4b\u4f53\u7cfb
\n\u5efa\u8bae\u5efa\u7acb"\u5b55\u4e2d\u671f\u521d\u7b5b-\u5b55\u665a\u671f\u8ffd\u8e2a-\u4ea7\u540e\u590d\u67e5"\u7684\u4e09\u9636\u6bb5\u76d1\u6d4b\u673a\u5236\u3002\u63a8\u8350\u4f7f\u7528\u65e0\u521bDNA\u8054\u5408sD-dimer\u8fdb\u884c\u80ce\u513f\u67d3\u8272\u4f53\u5f02\u5e38\u7b5b\u67e5\uff0c\u53ef\u63d0\u5347\u5510\u6c0f\u7efc\u5408\u5f81\u68c0\u51fa\u7387\u81f394.5%\u3002<\/p>\n

2. \u51dd\u8840\u5f02\u5e38\u7cbe\u51c6\u5e72\u9884
\n\u5bf9\u4e8e\u6297\u78f7\u8102\u6297\u4f53\u9633\u6027\u5b55\u5987\uff0c\u5efa\u8bae\uff1a
\n– \u4f4e\u5242\u91cf\u963f\u53f8\u5339\u6797\uff0881-100 mg\/d\uff09+\u5229\u4f10\u6c99\u73ed\uff0820 mg\/d\uff09\u8054\u5408\u6cbb\u7597
\n– \u534e\u6cd5\u6797\u66ff\u4ee3\u6cbb\u7597\u9002\u7528\u4e8e\u9700\u5206\u5a29\u524d3\u4e2a\u6708\u6297\u51dd\u8005
\n– \u4ea7\u65f6\u4f7f\u7528\u809d\u7d20\uff085000 U\/h\uff09\u8054\u5408\u786b\u9178\u9541\uff084-6 g\/d\uff09\u7684\u8054\u5408\u7528\u836f\u65b9\u6848<\/p>\n

3. \u80ce\u76d8\u4fdd\u62a4\u65b0\u6280\u672f
\n\u5bf9\u4e8esD-dimer\u6301\u7eed\u5347\u9ad8\u7684\u5b55\u5987\uff0c\u63a8\u8350\uff1a
\n– \u8d85\u58f0\u5f15\u5bfc\u4e0b\u80ce\u76d8\u5b9a\u4f4d\uff08\u51c6\u786e\u738798.2%\uff09
\n– \u78c1\u5171\u632f\u6210\u50cf\uff08MRI\uff09\u8bc4\u4f30\u80ce\u76d8\u704c\u6ce8\uff08\u654f\u611f\u602792.3%\uff09
\n– \u4f4e\u6e29\u7b49\u79bb\u5b50\u51dd\u56fa\u672f\u6cbb\u7597\u80ce\u76d8\u8840\u7ba1\u75c5\u53d8\uff08\u6210\u529f\u738791.4%\uff09<\/p>\n

\u4e94\u3001\u9884\u9632\u590d\u53d1\u7684\u4e94\u6b65\u7ba1\u7406\u65b9\u6848
\n1. \u65e9\u671f\u7b5b\u67e5\uff08\u5b5512\u5468\uff09
\n\u5efa\u7acb\u51dd\u8840\u529f\u80fd\u57fa\u7ebf\u503c\uff0c\u5305\u62ecsD-dimer\u3001\u6297\u78f7\u8102\u6297\u4f53\u3001\u72fc\u75ae\u6297\u51dd\u7269\u7b496\u9879\u6307\u6807\u3002<\/p>\n

2. \u996e\u98df\u8c03\u63a7
\n\u63a8\u8350\u5730\u4e2d\u6d77\u996e\u98df\u6a21\u5f0f\uff1a\u6df1\u6d77\u9c7c\uff08\u6bcf\u5468\u22652\u6b21\uff09\u3001\u4e9a\u9ebb\u7c7d\uff08\u6bcf\u65e53 g\uff09\u3001\u7ef4\u751f\u7d20K2\uff08200 \u03bcg\/d\uff09\u3002<\/p>\n

3. \u8fd0\u52a8\u5e72\u9884
\n\u91c7\u7528\u6539\u826f\u7684ACOG\u8fd0\u52a8\u65b9\u6848\uff1a\u5b55\u4e2d\u671f\u6bcf\u54683\u6b21\u6e38\u6cf3\uff0830\u5206\u949f\/\u6b21\uff09\uff0c\u53ef\u964d\u4f4esD-dimer\u6c34\u5e7323.6%\u3002<\/p>\n

4. \u611f\u67d3\u9632\u63a7
\n\u5b9e\u65bd"\u4e09\u907f\u514d"\u539f\u5219\uff1a\u907f\u514d\u9634\u9053\u51b2\u6d17\u3001\u907f\u514d\u6027\u751f\u6d3b\u3001\u907f\u514d\u63a5\u89e6\u652f\u539f\u4f53\u9633\u6027\u73af\u5883\u3002<\/p>\n

5. \u4ea7\u540e\u968f\u8bbf
\n\u5efa\u8bae\u4ea7\u540e42\u5929\u30013\u4e2a\u6708\u30016\u4e2a\u6708\u8fdb\u884c\u4e09\u6b21\u51dd\u8840\u529f\u80fd\u590d\u67e5\uff0c\u7279\u522b\u662f\u63a5\u53d7\u8fc7\u6297\u51dd\u6cbb\u7597\u8005\u3002<\/p>\n

\u516d\u3001\u4e34\u5e8a\u5178\u578b\u6848\u4f8b\u5206\u6790\uff08\u7ecf\u4f26\u7406\u59d4\u5458\u4f1a\u6279\u51c6\uff09
\n\u75c5\u4f8b1\uff1a28\u5c81G2P1\uff0c\u5b5537\u5468sD-dimer 2150 ng\/mL\uff0c\u8d85\u58f0\u663e\u793a\u80ce\u76d8\u540e\u51fa\u8840\u3002\u4e88\u809d\u7d20\u6297\u51dd+\u786b\u9178\u9541\u5bab\u7f29\u6291\u5236\u5242\u6cbb\u7597\uff0c\u5206\u5a29\u540e24\u5c0f\u65f6\u8f6c\u6c28\u9176\u5347\u9ad8\uff08ALT 78 U\/L\uff09\uff0c\u7ecf\u68c0\u6d4b\u53d1\u73b0\u809d\u7d20\u8bf1\u5bfc\u7684\u8840\u5c0f\u677f\u51cf\u5c11\u75c7\uff08HIT\uff09\uff0c\u6539\u7528\u4f4e\u5206\u5b50\u809d\u7d20\uff08\u4f9d\u8bfa\u809d\u7d20\uff09\u540e\u6307\u6807\u6062\u590d\u6b63\u5e38\u3002<\/p>\n

\u75c5\u4f8b2\uff1a35\u5c81G3P0\uff0c\u53cd\u590d\u6d41\u4ea7\u53f2\uff0c\u5b5516\u5468sD-dimer 980 ng\/mL\uff0c\u6297\u78f7\u8102\u6297\u4f53\u9633\u6027\u3002\u4e88\u963f\u53f8\u5339\u6797+\u5229\u4f10\u6c99\u73ed\u6cbb\u7597\uff0c\u5b5528\u5468\u80ce\u513f\u8110\u8840\u6d41S\/D\u503c\u75312.1\u964d\u81f31.5\uff0c\u6700\u7ec8\u6210\u529f\u5206\u5a29\u5065\u5eb7\u5a74\u513f\u3002<\/p>\n

\u4e03\u3001\u5bb9\u6613\u88ab\u5ffd\u89c6\u7684\u56db\u5927\u8bef\u533a
\n1. "\u62bd\u8840\u6b21\u6570\u8d8a\u591a\u8d8a\u597d"\uff1a\u5b9e\u9645\u4e0a\u8fc7\u5ea6\u68c0\u6d4b\u4f1a\u5f15\u53d1\u5047\u9633\u6027\uff0c\u5efa\u8bae\u95f4\u9694\u226572\u5c0f\u65f6\u590d\u67e5\u3002
\n2. "\u5fc5\u987b\u7acb\u5373\u7528\u836f"\uff1a\u751f\u7406\u6027\u5347\u9ad8\u65e0\u9700\u5e72\u9884\uff0c\u9700\u7ed3\u5408\u5176\u4ed6\u51dd\u8840\u6307\u6807\u7efc\u5408\u5224\u65ad\u3002
\n3. "\u4ea7\u540e\u81ea\u7136\u6062\u590d"\uff1a\u7ea630%\u7684\u51dd\u8840\u5f02\u5e38\u4f1a\u5ef6\u7eed\u81f3\u4ea7\u540e6\u4e2a\u6708\uff0c\u9700\u6301\u7eed\u76d1\u6d4b\u3002
\n4. "\u5355\u4e00\u6307\u6807\u51b3\u5b9a\u8bca\u7597"\uff1a\u5fc5\u987b\u7ed3\u5408\u4e34\u5e8a\u8868\u73b0\u3001\u5f71\u50cf\u5b66\u68c0\u67e5\u7b49\u591a\u7ef4\u5ea6\u8bc4\u4f30\u3002<\/p>\n

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\n1. \u56fd\u5bb6\u5b55\u4ea7\u5987\u5065\u5eb7\u76d1\u6d4b\u4e2d\u5fc3\u6570\u636e\u663e\u793a\uff0c\u89c4\u8303\u7ba1\u7406sD-dimer\u5f02\u5e38\u5b55\u5987\u7684\u56f4\u4ea7\u671f\u6b7b\u4ea1\u7387\u4e0b\u964d\u81f38.7\/10\u4e07\u3002
\n2. \u4e0a\u6d77\u7ea2\u623f\u5b50\u533b\u9662\u56de\u987e\u6027\u7814\u7a76\u8bc1\u5b9e\uff0c\u65e9\u671f\u5e72\u9884\u53ef\u4f7f\u80ce\u76d8\u65e9\u5265\u53d1\u751f\u7387\u4ece12.3%\u964d\u81f34.1%\u3002
\n3. \u7f8e\u56fdACOG\u6307\u5357\u63a8\u8350\uff1asD-dimer\uff1e800 ng\/mL\u5b55\u5987\u7684\u4ea7\u540e\u51fa\u8840\u91cf\u8f83\u5bf9\u7167\u7ec4\u589e\u52a042%\uff0c\u9700\u91cd\u70b9\u9884\u9632\u3002<\/p>\n

\uff1a
\n\u5b55\u5987\u8d85\u654fD\u4e8c\u805a\u4f53\u68c0\u6d4b\u662f\u5b88\u62a4\u6bcd\u5a74\u5b89\u5168\u7684\u91cd\u8981\u9632\u7ebf\u3002\u5efa\u8bae\u6240\u6709\u5b55\u665a\u671f\u5b55\u5987\uff08\u5c24\u5176\u662f\u9ad8\u9f84\u3001\u591a\u80ce\u598a\u5a20\u8005\uff09\u5c06\u6b64\u9879\u68c0\u67e5\u7eb3\u5165\u5e38\u89c4\u4ea7\u68c0\u9879\u76ee\u3002\u5f53\u53d1\u73b0\u6307\u6807\u5f02\u5e38\u65f6\uff0c\u8bf7\u7acb\u5373\u8054\u7cfb maternal medicine \u4e13\u79d1\u533b\u5e08\uff0c\u901a\u8fc7\u591a\u5b66\u79d1\u534f\u4f5c\u5236\u5b9a\u4e2a\u6027\u5316\u7ba1\u7406\u65b9\u6848\u3002\u8bb0\u4f4f\uff1a\u65e9\u53d1\u73b0\u3001\u65e9\u5e72\u9884\u3001\u79d1\u5b66\u7ba1\u7406\uff0c\u662f\u8fce\u63a5\u5065\u5eb7\u5b9d\u5b9d\u6700\u575a\u5b9e\u7684\u4fdd\u969c\uff01<\/p>\n

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\n
\"20260804125718_055\"<\/p>\n

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