Carman Teresa L, Deitcher Steven R
Department of Cardiovascular Medicine, The Cleveland Clinic Foundation, OH 44195, USA.
Cleve Clin J Med. 2002 Sep;69(9):721-9. doi: 10.3949/ccjm.69.9.721.
No single imaging study or blood test is 100% sensitive and specific for pulmonary embolism. A combination of pretest clinical probability assessment, noninvasive pulmonary imaging (V/Q scanning or spiral CT), and D-dimer testing seems prudent before pursuing pulmonary angiography.
没有单一的影像学检查或血液检测对肺栓塞的敏感性和特异性能达到100%。在进行肺血管造影之前，先进行临床预概率评估、无创肺部成像（通气/灌注扫描或螺旋CT）以及D-二聚体检测，这样的组合似乎是明智的。
