中国实用内科杂志2017，Vol.37Issue(8)：694-697,4.DOI:10.19538/j.nk2017080105
超声诊断重症患者肺栓塞临床价值
Clinical value of ultrasonography in diagnosis of severe pulmonary embolism
朱然 1马晓春1
作者信息
- 1. 中国医科大学附属第一医院重症医学科,辽宁沈阳110001
- 折叠
摘要
Abstract
Pulmonary embolism (PE) is a clinical emergency which will increase the mortality if complicated with unstable hemodynamics.Because of its non-specific clinical symptoms,it's a great challenge to make a PE diagnosis.The golden standard to diagnose PE is computed tomography of pulmonary artery (CTPA),but a diagnosis of PE is also composed of evaluation of PE risk factors and its possibilities and risk stratification.Ultrasound may detect a right ventricle strain related to hemodynamic change,intravascular thrombosis,thrombosis in right heart or pulmonary arteries,pulmonary infarction and local pleural effusion.Combination of ultrasound WELLS score.A comprehensive ultrasonography can not only exclude the PE diagnosis but may also disclose other causes for the clinical situations.A heart-lung-vessel integrated multi-organ ultrasonography can help with the diagnosis of PE and so should be a necessary weapon for the physicians.关键词
肺栓塞/超声/重症医学Key words
pulmonary embolism/ultrasonography/critical care medicine分类
医药卫生引用本文复制引用
朱然,马晓春..超声诊断重症患者肺栓塞临床价值[J].中国实用内科杂志,2017,37(8):694-697,4.
