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肺栓塞在我国是较常见的临床疾病 ,但许多患者没有得到正确的诊断 ,影响了治疗和预后。最近几年 ,深静脉血栓 (DVT)和肺栓塞无论在病因学、流行病学还是在诊断学和治疗学方面 ,都有较大进展。本文综述了近年来肺栓塞诊断进展 ,探讨了临床评估、D 二聚体检测、通气 /灌注显像、肺血管造影、螺旋CT等对肺栓塞的诊断价值 ,并对正在研究的放射性核素血栓显像剂进行了综述。
Pulmonary embolism in our country is a more common clinical disease, but many patients did not get the correct diagnosis, affecting the treatment and prognosis. In recent years, deep venous thrombosis (DVT) and pulmonary embolism in both etiology, epidemiology or in the diagnosis and treatment, have made great progress. This review summarizes the progress of diagnosis of pulmonary embolism in recent years, and discusses the clinical value of diagnosis, D dimer test, ventilation / perfusion imaging, pulmonary angiography, spiral CT and other diagnostic value of pulmonary embolism, and is studying radionuclide thrombus Imaging agents are reviewed.