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对基层医院肺血栓栓塞症处理策略的思考 被引量：1

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摘要 肺血栓栓塞症（PTE）确诊技术要求较高,确诊手段并非适用于所有患者;如果医院不具备多种PTE确诊技术,则会影响患者的诊治.对北京地区10家二级医院和8家三级医院进行的PTE规范化诊治调查发现,86％的PTE患者通过CT肺动脉造影（CTPA）确诊,CTPA已成为PTE的主要确诊技术;同时发现大多数二级医院不具备肺通气/灌注显像及磁共振检查技术[1].临床上有24.4％的患者至少存在一项CTPA检查的禁忌证[2],部分二级医院对这些患者不能明确PTE的诊断.
作者 杨媛华 王辰
机构地区 北京呼吸疾病研究所北京市呼吸与肺循环疾病重点实验室首都医科大学附属北京朝阳医院呼吸与危重症医学科 中日友好医院国家呼吸病学临床研究中心
出处 《中华医学杂志》 CAS CSCD 北大核心 2015年第30期2419-2420,共2页 National Medical Journal of China
基金 国家“十二五”科技支撑计划课题（2011BAI11B17,2012BA105BOO） 首都卫生发展科研基金（首发2011-4011-05）
关键词 肺血栓栓塞症 基层医院 磁共振检查技术 肺通气/灌注显像 CT肺动脉造影 规范化诊治 二级医院 CTPA
分类号 R563.5 [医药卫生—呼吸系统]
  • 相关文献

参考文献13

  • 1Stein PD, Fowler SE, Goodman LR, et al. Multidetector computed tomography for acute pulmonary embolism [J]. N Engl J Med, 2006, 354(22): 2317-2327.
  • 2Wells 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 Ddimer[J]. Thromb Haemost, 2000, 83(3): 416-420.
  • 3Wicki J, Perneger TV, Junod AF, et al. Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score [J]. Arch Intern Med, 2001, 161 (1) : 92-97.
  • 4Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score [J]. Ann Intern Med, 2006,144(3): 165-171.
  • 5Konstantinides SV, Torbicki A, Agnelli G, et al. 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism[J]. Eur Heart J, 2014, 35(43): 3033-3069.
  • 6Righini M, Van Es J, Den Exter PL, et al. Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism: the ADJUST-PE study[J]. JAMA, 2014, 311(11): 1117-1124.
  • 7Jaff MR, McMurtry MS, Archer SL, et al. Management of massive and submassive pulmonary embolism, iliofemoral deep vein thrombosis, and chronic thromboembolic pulmonary hypertension: a scientific statement from the American Heart Association [J]. Circulation, 2011, 123 (16) : 1788 -1830.
  • 8Newman DH, Greenwald I, Callaway CWo Cardiac arrest and the role of thrombolytic agents [J]. Ann Emerg Med, 2000, 35 (5) : 472-480.
  • 9Li X, Fu QL, Jing XL, et al. A meta-analysis of cardiopulmonary resuscitation with and without the administration of thrombolytic: agents[J]. Resuscitation, 2006, 70(1): 31-36.
  • 10杨媛华,王宁,翟振国,王辰.北京地区住院患者肺血栓栓塞症的规范化诊治情况分析[J].中华结核和呼吸杂志,2014,37(12):898-902. 被引量：15

二级参考文献37

  • 1Jean-Noel,Fiessinger,MD,Menno,V.,Huisman,,MD,Bruce,L.,Davidson,,MD,王莉华（译）,诸骏仁（校）.Ximelagatran与低分子肝素加华法令治疗深静脉血栓的比较 随机试验[J].美国医学会杂志（中文版）,2005,24(6):370-370. 被引量：2
  • 2华琳,阎岩,张建.关于对诊断一致性Kappa系统的探讨[J].数理医药学杂志,2006,19(5):518-520. 被引量：64
  • 3Wells PS, Anderson DR, Rodger MA, 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.
  • 4Wicki J, Perneger TV, Junod AF, et al. Assessing clinical probability of pulmonary embolism in the emergency ward: a simple score. Arch Intern Med, 2001, 161 : 92-97.
  • 5Le Gal G, Righini M, Roy PM, et al. Prediction of pulmonary embolism in the emergency department: the revised Geneva score. Ann Intern Med, 2006, 144: 165-171.
  • 6Wells 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 Ddimer. Ann Intern Med, 2001, 135: 98-107.
  • 7Pettier A, Nendaz MR, Sarasin FP, et al. Cost-effectiveness analysis of diagnostic strategies for suspected pulmonary embolism including helical computed tomography. Am J Respir Crit Care Med, 2003, 167: 39-44.
  • 8Chagnon I, Bounameaux H, Aujesky D, et al. Comparison of two clinical prediction rules and implicit assessment among patients with suspected pulmonary embolism. Am J Med, 2002, 113:269- 275.
  • 9Tamariz LJ, Eng J, Segal JB, et al. Usefulness of clinical prediction rules for the diagnosis of venous thromboembolism: a systematic review. Am J Med, 2004,117 : 676-684.
  • 10Qaseem A, Snow V, Barry P, et al. Current diagnosis of venous thromboembolism in primary care: a clinical practice guideline from the American Academy of Family Physicians and the American College of Physicians. Ann Intern Med, 2007, 146 : 454-458.

共引文献130

同被引文献15

  • 1Konstantinides SV, Torbicki A, Agnelli G, et al. 2014 ESCguidelines on the diagnosis and management of acutepulmonary embolism[J]. Eur Heart J, 2014, 35 (43) : 3033-69, 3069a-3069k.
  • 2Stein PD,Fowler SE, Goodman LR, et al. Multidetectorcomputed tomography for acute pulmonary embolism [J]. N.
  • 3Torbicki A. Perrier A, Konstantinides S,et al. Guidelines onthe diagnosis and management of acute pulmonary embolism:the Task Force for the Diagnosis and Management of AcutePulmonary Embolism of the European Society of Cardiology(ESC)[J]. Eur Heart J,2008,29(18): 2276-2315.
  • 4Aujesky D. Obrosky DS. Stone RA, et al. Derivation andvalidation of a prognostic model for pulmonary embolism[J].Am J Respir Crit Care Med, 2005, 172(8) : 1041-1046.
  • 5Fancher TL, White RH, Kravitz RL. Combined use of rapidI>dimer testing and estimation of clinical probability in thediagnosis of deep vein thrombosis; systematic review [J].BMJ,2004,329(7470): 821.
  • 6Righini M, van Es J,Den EPL, et al. Age-adjusted D-dimercutoff levels to rule out pulmonary embolism: the ADJUST-PE study[j]. JAMA, 2014,311(11) : 1117-1124.
  • 7Meyer G,Vicaut E,Danays T, et al. Fibrinolysis for patientswith intermediate-risk pulmonary embolism [J]. N Engl JMed,2014,370(15); 1402-1411.
  • 8Chatterjee S, Chakraborty A, Weinberg I, et al.Thrombolysis for pulmonary embolism and risk of all-causemortality, major bleeding, and intracranial hemorrhage: ameta-analysis[J], JAMA,2014,311(23) : 2414-2421.
  • 9Kline JA, Steuerwald MT, Marchick MR, et al. Prospectiveevaluation of right ventricular function and functional status 6months after acute submassive pulmonary embolism:frequency of persistent or subsequent elevation in estimatedpulmonary artery pressure[J]. Chest, 2009. 136(5): 1202-1210.
  • 10Wang C, Zhai Z. Yang Y, et al. Efficacy and safety of lowdose recombinant tissue-type plasminogen activator for thetreatment of acute pulmonary thromboembolism : arandomized, multicenter. controlled trial [J]. Chest > 2010,137(2): 254-262.

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中华医学杂志
2015年 第30期

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