肺栓塞的诊断方法.pdfVIP

2007 2 27 2 Chin J Crit CareM ed, Feb2007, Vol27, No2 157 邹 昕, 张翠丽(), 富 路 () : 150001, : ( 1983- ),, , : ( 1970- ),, , E-mai:l zhangcuil@i hotmailcom [ ] , : D - , , , CT ( CT )(MR ) , , , CT(MDCT) , [] ; [] R 563. 5 [] [] 1002- 1949( 2007)02- 0157- 04 D iagnosis of pulmonary embolism ZO U - x in, ZHAN G Cui - li, F U Lu. D epartm ent of Card io logy, the F irst C lini al Colleg e of H arbinM ed i al Un iversity, H arbin 150001, China [ Abstract] Pulmonary embolism is comparatively common on clinic, but it is difficult to diagnose. D iagnosis should beginw ith recognizing risk factors of pulmonary embolism and assessing the possibility of pulmonary embolism and symptoms and signs of patientsw ith pulmonary embolism. Routine exam inations include D- dmi er, electrocardiogram, chestX ray, and echocardiogram and so on. long w ith the devel opment of mi aging technology, many advancedmethods are also gradually applied in the diagnosis ofpul monary embolism and shows the good prospects. Pulmonary arteriography is a golden standard in the diag nosis ofpulmonary embolism. M ultidetectorCT m ight be another one, butdiagnosis based on clinical find ings is useful for pulmonary embolism. [K ey words] Pulmonary embolism; D iagnosis ( pulmonary embolism, PE) , , , , 65~ 70, 1 007% , 07% ~ [ 1] 96% , , , ;( [ 2] [3] , , ); () , , ;(); ; , () ; 158 2007