肺栓塞的诊断进展探讨

Study Progress about Diagnosis of Pulmonary Embolism

肺栓塞是指内源性或外源性栓子堵塞肺动脉或其分支引起肺循环障碍的临床和病理生理综合征。本文简述了肺栓塞的一般检查方法及特殊检查方法,核素肺通气/灌注扫描(V/Q)、CT肺血管造影(CTPA)、肺动脉造影是确诊或除外肺栓塞的较为可靠的诊断方法。

Pulmonary embolism is a kind of clinical and pathophysiology syndrome of circulatory disorder resulting from pulmonary artery occlusion caused by endogenous and exogenous embolus. This article reviews its general and special examination methods, among which Lung ventiliation/perfusion scan, pulmonary angiography using CT and pulmonary arteriography are reliable methods in its final diagnosis and differential diagnosis.