肺动脉栓塞的影像学诊断

The imaging diagnosis of pulmonary embolism

  • 摘要: 肺动脉栓塞的发病率较高,容易漏诊及误诊,故死亡率高,迅速准确的诊断是治疗成功及取得良好预后的关键。X线胸片是必要的筛选检查手段;超声心动图检查有助于排除心脏疾患;核素肺显像是传统的常规检查,诊断准确性很高;螺旋CT及MRI检查不但具有一定的确诊价值,而且是良好的指导治疗和评价疗效的手段。但是,当非侵入性检查不能确诊时,应该进行肺血管造影。

     

    Abstract: Pulmonary embolism has high incidence and mortality if treated improperly, but it was mistakenly diagnosed easily. So rapid and right diagnosis is crucial in successful treatment and gaining good prognosis. X-ray film is the necessary screening examination and UCG is useful in exclusion of heart disease. Radionuclide pulmonary perfusion and ventilation imaging is a traditional routine examination with high diagnostic accuracy. Spiral CT and MRI are excellent methods in diagnosis, treatment-directing and treatment effect-evaluating. However, the pulmonary angiography should be used if the diagnosis can not be confirmed with above mentioned noninvasive examinations.

     

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