非特异性肺栓塞诊断技术应用进展

The advance of non-special techniques in diagnosis of pulmonary embolism

肺栓塞为常见病,病死率高,确诊需肺动脉影像学检查,条件不足时难以诊断。研究发现动脉血气分析、血浆D-二聚体、血清心肌酶测定、心电图、胸片、心脏超声多普勒、肢体血管超声及肺栓塞系统评估对肺栓塞有直接诊断或提示诊断作用。该文就近年来非特异性PE诊断技术应用展开综述。

Pulmonary embolism （PE） is a common disease with high mortality. Pulmonary angiography is the gold standard for definite diagnosis, but that is difficult to perform in primary hospital or after working time. Non- special techniques such as arterial blood gas analysis, plasma D-dimer, serum cardiac enzyme, electrocardiogram, chest rediography, echocardiography, vascular ultrasonography and clinical model may result in a diagnosis of PE di- recdy or diagnostic clues. The development of non-special techniques in PE diagnosis is reviewed in this paper.