Özet:

Purpose: Pre-diagnosis of pulmonary tromboembolism with BT pulmonary angiography and/or pulmonary syntigraphy of patients with D-dimer, C-reactive protein (CRP), D-dimer/CRP parameters were planned to study the diagnostic values for pulmonary tromboembolism. Thus it was thought that unnecessary BT pulmonary anjiography can be reduced. Method: In our study, patients who apply to breast disease clinic and emergency service and with pre-diagnosis of pulmonary tromboembolism with BT pulmonary anjiography and/or pulmonary syntigraphy, studied simultaneously D-dimer and CRP examinations were evaluated as retrospective. The Wells score assessed the effectiveness and reliability of the combination of D-dimer, D-dimer/CRP and CRP in the pre-diagnosis of pulmonary tromboembolism. Results: In our study, 46 of 79 suspects of pulmonary embolism were diagnosed with advanced tests with pulmonary tromboembolism. In the PTE diagnosis, Wells score, D-dimer and CRP sensitivity and specificity were 41.3-100, 91.3-27.3 and 84.7-42.4 per cent respectively, while the D-dimer/CRP cut off ratio was 119.5. According to the Wells clinical scores, we found statistically significant high D-dimer levels in patients with PTE potential. However, the D-dimer/CRP ratio and the CRP levels were statistically meaningless. Result: In our study, the D-dimer and CRP rates were significantly high in patients with PTE but the D-dimer/CRP rates were less valuable in diagnosing the sensitivity and specificity of the PTE pre-diagnosis.

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