肺栓塞诊断方法的改进与简化
Diagnosing Pulmonary Embolism With Improved Certainty and Simplicity
摘要
肺栓塞是一种常见且普遍存在的疾病。致死和非致死性复发性静脉血栓栓塞如果被误诊未予治疗,就会有很高的发病率和死亡率。肺栓塞是医学领域较难诊断的疾病之一,其症状和体征均无特异性。因此,必须通过诊断性检查来确诊肺栓塞。目前,可供临床医师使用的诊断方法较以前已有了长足的进步。
出处
《美国医学会杂志(中文版)》
2007年第1期62-64,共3页
The Journal of the American Medical Association(Chinese Edition)
参考文献23
-
1Stein PD, Hull RD, Ghali WA, et al. Tracking the uptake of evidence: two decades of hospital practice trends for diagnosing deep vein thrombosis and pulmonary embolism. Arch Intern Med. 2003;163:1213-1219.
-
2Stein PD, Kayali F, Olson RE. Trends in the use of diagnostic imaging in patients hospitalized with acute pulmonary embolism. Am J Cardiol. 2004;93:1316-1317.
-
3Hull RD, Hirsh J, Carter CJ et al. Pulmonary angiography, ventilation lung scanning, and venography for clinically suspected pulmonary embolism with abnormal perfusion lung scan. Ann Intern Med. 1783;78:891-899.
-
4Hull RD, Hirsh J, Carter CJ, et al. Diagnostic value of ventilation-pertusion lung scanning in patients with suspected pulmonary embolism. Chest. 1985;88:819-828.
-
5The PIOPED Investigators. Value of the ventilation/perfusion scan in acute pulmonary embolism: results of the Prospective Investigation of Pulmonary Embolism Diagnosis (PIOPED).JAMA. 1990;263:2753-2759.
-
6Hull RD, Raskob GE, Pineo GF, Brant RF. The low-probability lung scan: a need for change in nomenclatu re. Arch Intern Med.1995;155:1845-1851.
-
7Hull RD, Raskob GE, Coates G, Panju AA, Gill GJ. A new noninvasive management strategy for patients with suspected pulmonary embolism. Arch Intern Med.1989;149:2547-2555.
-
8Wells PS, Ginsberg JS, Anderson DR, et al. Use of a clinical model for sate management of patients with suspected pulmonary embolism. Ann Intern Med. 1998;129:997-1005.
-
9Wells PS, Anderson DR, Rodger M, et al. Derivation of a simple clinical model to categorize patients' probability of pulmonary embolism: increasing the models utility with the SimpliRED D-dimer. Thromb Haemost. 2000;83:416-420.
-
10Wells PS, Anderson DR, Rodger M, et al. Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and D-dimer. Ann Intern Med. 2001 ;135:98-107.
-
1温伟,张新超.急性肺栓塞早期误诊为急性冠状动脉综合征14例分析[J].中国医刊,2006,41(6):45-46. 被引量:4
-
2翟航荣,王玉玲.急性肺栓塞误诊为急性冠脉综合征6例分析[J].中国误诊学杂志,2008,8(36):8906-8907. 被引量:4
-
3陈凌.深部静脉血栓形成的诊断性检查[J].江西中医学院学报,1996,8(3):43-43.
-
4Marcia E.Leventhal.女性与男性的心血管疾病临床表现有差异[J].世界核心医学期刊文摘(心脏病学分册),2005,0(10):7-7.
-
5李崟,辛雨玲,马秋波,刘丽丽.肺栓塞42例临床心电图分析[J].河北医药,2008,30(3):336-337. 被引量:1
-
6Rutten F. H.,Cramer M.-J. M.,Grobbee D. E.,黄浙勇.慢性阻塞性肺病稳定期老年患者中未被发现的心衰[J].世界核心医学期刊文摘(心脏病学分册),2006,2(1):48-48.
-
7Evangelista A.,Mukherjee D.,Mehta R.H.,K.A. Eagle,苏畅.急性主动脉壁内的血肿:一种特殊的演变[J].世界核心医学期刊文摘(心脏病学分册),2005,0(8):37-38. 被引量:23
-
8Mollet N.R.,Cademartiri F.,Van Mieghem C.,吴超能.CT冠状动脉造影在典型心绞痛患者诊断性检查中的辅助价值[J].世界核心医学期刊文摘(心脏病学分册),2007(12):42-42.
-
9陈广原,谭挺任.深部静脉血栓形成的诊断性检查[J].现代临床医学生物工程学杂志,1995,1(1):79-79.
-
10翟振国,王辰.肺血栓栓塞症的心电图表现[J].中华医学信息导报,2003,18(18):21-21.