肺动脉栓塞的影像学诊断
摘要
肺动脉栓塞(PE)是指周围静脉内血栓落入肺动脉并嵌塞于肺动脉主干及其分支,引起肺循环障碍而导致的临床和病理生理综合症。据国外文献报道,肺栓塞在未经治疗的患者中死亡率可达30%以上,而采用适当的抗凝剂治疗,死亡率可降低到8%。但是,由于其临床症状缺乏特异性,故常发生误诊和漏诊。为了正确、及时且无创性诊断肺动脉栓塞,现就肺动脉栓塞的影像学诊断讨论如下。
出处
《医用放射技术杂志》
2006年第6期65-66,共2页
Journal of Medical Radiology Technology
二级参考文献11
-
1Giuntinic DI, Ricco G, Marini C,et al. Pulmonary embolism: epidemiology. Chest, 1995, 107:35
-
2Remy Jardin M, Remy J, Artaud D,et al. Peripheral pulmonary arteries: optimization of the spiral CT acquisition protocol. Radiology, 1997, 204:157
-
3Oser RF, Zuckerman DA, Gullieres FR,et al. Anatomic distribution of pulmonary emboli at pulmonary arteriography Implications for cross- sectional imaging. Radiology, 1996, 199:31
-
4Remy-Jardin M, Remy J, Deschildre F,et al. Diagnosis of pulmonary embolism with spiral CT comparison with pulmonary angiograghy and scintigraphy. Radiology, 1996, 200:699
-
5Davey NC, Smith TP, Hanson MW,et al. Ventilation perfusion lung scintigraphy as a guide for pulmonary angiography in the localization of pulmonary emboli. Radiology, 1999, 213:51
-
6Mayo JR, Remy-Jardin M, Muller NL,et al. Pulmonary embolism: prospectivecomparison of spiral CT with ventilation-perfusion scintigraphy. Radiology, 1997, 205:447
-
7Stein PD, Athanasoulis D, Alavi A,et al. Complications and validity of pulmonary angiography in acute pulmonary embolism. Circulation, 1992, 85:462
-
8Lorut C, Ghossains M, Horellou MH,et al. A noninvasive diagnostic strategy including spiral computed tomography in patients with suspected pulmonary embolism. Am J Respire Crit Care Med, 2000, 162:1413
-
9Van Strijen, Marco J.L, Monye Wouter. Single-detector helical computed Tomography as the primary diagnostic test in suspected pulmonary embolism: a multicenter clinical management study of 510 patients. Annals of Internal Medicine, 2003, 138:307
-
10李坤成.重视三维增强磁共振血管造影在诊断肺栓塞中的价值[J].中华放射学杂志,2000,34(4):221-222. 被引量:13
共引文献16
-
1黄汝军.肺动脉栓塞24例CTA表现与临床意义探讨[J].医学理论与实践,2005,18(7):771-773. 被引量:2
-
2张法明,李晓莹.肺栓塞的诊断及进展[J].医学综述,2006,12(16):979-981. 被引量:1
-
3叶容臻,李宇东,李郁芳,高堃,张士龙.螺旋CT增强扫描及肺动脉造影在肺动脉栓塞中的诊断价值[J].中国现代医药杂志,2006,8(10):79-81. 被引量:1
-
4陈柏楠,丁承宗,宋岳梅,秦红松,刘政,王瑛.肺栓塞的CT诊断及与深静脉血栓形成临床类型的相关性研究[J].中国中西医结合影像学杂志,2006,4(6):410-412. 被引量:2
-
5王永顺,赵光瑜,边琳.肿瘤病人围术期肺栓塞9例分析[J].临床麻醉学杂志,2008,24(1):67-68. 被引量:1
-
6杨江华,缪建良.多灶性肺梗死的影像学分析[J].中国疗养医学,2008,17(5):296-298.
-
7武淮昌,韩靖,余留森.多层螺旋CT血管成像在肺动脉栓塞中的应用价值[J].实用放射学杂志,2008,24(8):1142-1143. 被引量:4
-
8李建,姚建军.多层螺旋CT肺动脉造影诊断肺栓塞的临床价值[J].宁夏医学杂志,2008,30(11):985-986. 被引量:1
-
9邢阿宁,王国年.肿瘤患者围手术期肺栓塞临床分析[J].实用肿瘤学杂志,2009,23(1):61-62. 被引量:6
-
10石谊联,苏娟,侯冬莲.肺栓塞的诊断进展[J].中国实用医药,2010,5(19):238-239. 被引量:1
-
1鄢春喜,卢正飞.肺栓塞的临床诊断——附3例报告[J].工企医刊,2004,17(6):19-20.
-
2洪霞.肺栓塞的诊断[J].临床肺科杂志,2006,11(3):354-355. 被引量:31
-
3黄茜.肺栓塞的临床护理[J].中原医刊,2002,29(12):65-65.
-
4于健,李向东,魏国峰.21例肺栓塞临床诊治体会[J].中国医师杂志,2004,6(6):821-821. 被引量:5
-
5徐定修,李嘉,陈鹏,官学强,杨鹏麟,唐疾飞.4例肺栓塞的诊治观察报告[J].浙江临床医学,2005,7(4):395-396. 被引量:4
-
6高晶,刘建军.8例肺栓塞病人的诊断体会[J].医用放射技术杂志,2006(3):95-96.
-
7常红,左云慧.肺栓塞的诊治和漏误诊原因分析[J].包头医学,2002,26(2):69-71.
-
8崔超巍.急性肺栓塞23例临床分析[J].临床医学,2004,24(12):19-20.
-
9周伟荣,郭丹杰.肺栓塞35例诊治分析[J].临床医学,2001,21(6):12-13. 被引量:2
-
10周滟.急性肺栓塞的心电图表现[J].实用心电学杂志,2006,15(5):350-351. 被引量:1