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超声检查在急性肺栓塞诊断中的价值 被引量:38

Clinical value of comprehensive ultrasonic examination for the diagnosis of acute pulmonary embolism
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摘要 目的 探讨超声检查在急性肺栓塞诊断中的价值。方法 对临床综合诊断为肺栓塞的 82例患者行经胸超声心动图和周围血管超声检查。结果 超声心动图发现右房内血栓 1例 ,肺动脉干或左、右肺动脉栓塞 7例 ,典型右心负荷过重和肺动脉高压 2 5例。周围血管超声发现下肢深静脉和 (或 )髂静脉内血栓 39例。结论 超声检查是急性肺栓塞影像学诊断的首选 ,是急诊情况下重要、实用、及时的诊断方法 ,对临床决策有较大帮助。 Objective To assess the value of ultrasonic examination for the diagnosis of acute pulmonary embolism. Methods Eighty-two patients with clinically diagnosed pulmonary embolism were performed by transthoracic echocadiography and peripheral vascular ultrasonography.Results Right atrium thrombus was recognized by echocardiography in one patient, Emboli within the main, left or right pulmonary artery were found in 7 patients, typical right heart overload and pulmonary hypertension were showed in 25 cases. Thrombi in deep veins of the lower limbs and/or iliac vein were discovered by peripheral vascular ultrasonography in 39 cases.Conclusions Comprehensive ultrasonic examination is the first choice for the imaging diagnosis of acute pulmonary embolism, which is the more important, practical and prompt diagnostic tool, and helpful to making a clinical decision.
出处 《中华超声影像学杂志》 CSCD 2002年第4期199-202,共4页 Chinese Journal of Ultrasonography
基金 国家"九五"重点科技攻关基金资助 (96 92 0 0 6 0 5 1 )
关键词 超声检查 急性肺栓塞 诊断 Ultrasonography Pulmonary embolism
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