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非特异性肺栓塞诊断技术应用进展
陈桂荣(综述),秦志强(审校)
530021 南宁,广西壮族自治区人民医院呼吸内科
摘要:
[摘要] 肺栓塞为常见病,病死率高,确诊需肺动脉影像学检查,条件不足时难以诊断。研究发现动脉血气分析、血浆D-二聚体、血清心肌酶测定、心电图、胸片、心脏超声多普勒、肢体血管超声及肺栓塞系统评估对肺栓塞有直接诊断或提示诊断作用。该文就近年来非特异性PE诊断技术应用展开综述。
关键词:  肺栓塞  诊断  超声多普勒
DOI:10.3969/j.issn.1674-3806.2013.04.40
分类号:R 56
基金项目:广西卫生厅重点科研课题(编号:重200802)
The advance of non-special techniques in diagnosis of pulmonary embolism
CHEN Gui-rong, QIN Zhi-qiang
Department of Respiratory Disease, the People’s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
Abstract:
[Abstract] Pulmonary embolism (PE) is a common disease with high mortality. Pulmonary angiography is the gold standard for definite diagnosis, but that is difficult to perform in primary hospital or after working time. Non-special techniques such as arterial blood gas analysis, plasma D-dimer, serum cardiac enzyme, electrocardiogram, chest rediography, echocardiography, vascular ultrasonography and clinical model may result in a diagnosis of PE directly or diagnostic clues. The development of non-special techniques in PE diagnosis is reviewed in this paper.
Key words:  Pulmonary embolism(PE)  Diagnosis  Ultrasonography