无症状肺栓塞的诊断与治疗进展

Progress in diagnosis and treatment for silent pulmonary embolism

无症状肺栓塞是深静脉血栓常见的并发症。虽然无症状肺栓塞的后果远没有症状性肺栓塞的严重,但是无症状肺栓塞可能会影响静脉血栓栓塞症的治疗方案。此外,无症状肺栓塞的发生可能会增加静脉血栓栓塞症的复发率并造成远期的肺动脉高压。既往文献及指南大多侧重于症状性肺栓塞的诊治,而对无症状肺栓塞关注甚少。为了能更好地认识该疾病,文章就无症状肺栓塞的发病率、筛查、危险因素和治疗方案进行综述。

Silent pulmonary embolism(SPE)is a common complication in deep vein thrombosis(DVT).Although the consequences of SPE are less severe than symptomatic PE,the treatment regimen for venous thromboembolism(VTE)may be influenced by concomitant SPE.Moreover,SPE may be associated with an increased risk of VTE recurrence and long-term pulmonary hypertension.Most previous studies and guidelines focused on the diagnosis and treatment for symptomatic PE,whereas the concerns regarding SPE were limited.In order to have a better understanding of SPE,the present review focused on the incidence,screening,risk factors and treatment for SPE.