Shakoor Hasan, Santacruz Jose Fernando, Dweik Raed A
Department of Pulmonary, Allergy and Critical Care Medicine, Respiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Compr Ther. 2009 Spring;35(1):24-36.
Venous thrombo-embolic disease carries a high mortality rate and sometimes difficulties in diagnosis. Conventional pulmonary angiography remains the gold standard diagnostic test for pulmonary embolism. While contrast venography remains the gold standard modality to diagnose deep venous thrombi, the highly sensitive and specific venous ultrasonography makes it the most common initial test. The management of below-the-knee deep vein thrombosis and the indications for thrombolysis in pulmonary embolism are among the controversies explored.
静脉血栓栓塞性疾病死亡率高,有时诊断困难。传统的肺血管造影术仍然是诊断肺栓塞的金标准检查。虽然静脉造影仍然是诊断深静脉血栓的金标准方法,但高灵敏度和特异性的静脉超声检查使其成为最常用的初始检查。膝下深静脉血栓的处理以及肺栓塞溶栓治疗的指征是探讨的争议点之一。