心电图在肺栓塞诊疗中的应用进展

Application progress of electrocardiogram in pulmonary embolism

肺栓塞是一种发病率、死亡率、漏诊率和误诊率很高的疾病。目前,临床上确诊肺栓塞广泛应用的是CT肺动脉造影,但对于有设备限制的基层医院以及无法行血管造影检查和危重不宜搬动的患者而言,肺栓塞的诊断将会面临不小的挑战。近年来,心电图在肺栓塞诊疗中的作用逐渐得到重视,尤其在预测肺栓塞的不良预后方面能提供重要参考信息。

Pulmonary embolism(PE)is a disease with high morbidity and death rate,as well as a high rate of missed diagnosis and misdiagnosis.At present,the main basis for clinical diagnosis of pulmonary embolism is CTPA,but there are certain limitations in primary hospitals and patients contraindicated by CTPA.In recent years,the role of electrocardiogram in the diagnosis and treatment of pulmonary embolism has been gradually paid attention,especially in predicting the poor prognosis of pulmonary embolism can provide important reference information.