McCabe J L, Grossman S J, Joyce J M
University of Pittsburgh Affiliated Residency in Emergency Medicine, Pennsylvania.
Emerg Med Clin North Am. 1991 Nov;9(4):805-25.
Ventilation-perfusion scintigraphy remains an important diagnostic tool in the evaluation of patients suspected of having PE. It is important for the emergency physician to be able to use the information from a lung scan appropriately in the diagnostic management of this elusive and life-threatening disorder. This requires a clear knowledge of how these scans are interpreted as well as a consultative approach between the physician ordering the lung scan and the nuclear medicine physician interpreting it. Each can ultimately contribute to the development of an effective management plan. It is important for the clinician to understand that a low-probability lung scan does not rule out PE, but in fact can have up to a 40% probability of PE when clinical suspicion is high.
通气灌注闪烁扫描仍然是评估疑似患有肺栓塞（PE）患者的重要诊断工具。对于急诊医生而言，能够在这种难以捉摸且危及生命的疾病的诊断管理中恰当地运用肺部扫描信息非常重要。这需要清楚了解这些扫描结果是如何解读的，以及开具肺部扫描检查的医生与解读扫描结果的核医学医生之间采用协商的方法。两者最终都有助于制定有效的管理计划。临床医生必须明白，低概率的肺部扫描并不能排除肺栓塞，但实际上，当临床怀疑度很高时，其肺栓塞的概率可能高达40%。
