武警医学Issue(6)：548-550,554,4.
急诊肺栓塞诊断 Wells评分和修正 Geneva评分的价值
Clinical values of Wells score and revised Geneva score in diagnosis of acute pulmonary embolism in emergency department
汤辉 1王晶 1秦俭 1王长远1
作者信息
- 1. 100053 北京，首都医科大学宣武医院急诊科
- 折叠
摘要
Abstract
Objective To evaluate the clinical value of Wells score and revised Geneva score in diagnosing pulmonary embol-ism for emergency patients.Methods Fifty-nine patients with confermed acute pulmonary embolism were predicted consecutively by the two scores, and clinical data were collected and analysed.Results According to Wells score,zero patient had low probability, 52 patients had intermediate probability and 7 patients had high probability, as for revised Geneva score,15 patients had low probability, 45 patients had intermediate probability and 1 was in high probability.37 patients(6.7%) showed clinical symptoms of dyspnea and 17 patients(28.8%) exhibited syncope.In addition, positive results with SIQⅢTⅢ on ECG were yielded in 18 patients(30.5%), right ventricular enlargement and pulmonary artery hypertension were 18 patients(30.5%),elevated D-Dimer were 52 (88.1%). Conclusions The Wells score is superior to the revised Geneva score in accessing the emergent patients with pulmonary embolism. Wells score combined with ECG, laboratory test and echocardiograghy can raise the rate of accurate diagnosis.关键词
肺栓塞/Wells评分/修正的Geneva评分/评估Key words
pulmonary embolism/Wells score/Revised Geneva score/evaluation分类
医药卫生引用本文复制引用
汤辉,王晶,秦俭,王长远..急诊肺栓塞诊断 Wells评分和修正 Geneva评分的价值[J].武警医学,2015,(6):548-550,554,4.
