Department of Medicine, Division of Hematology, The Ottawa Hospital and The University of Ottawa, Ottawa, Ontario, Canada.
Clin Chest Med. 2010 Dec;31(4):629-39. doi: 10.1016/j.ccm.2010.07.002. Epub 2010 Aug 21.
Evidence suggests that patients with suspected pulmonary embolism are managed better with a diagnostic strategy that includes clinical pretest probability assessment, D-dimer test, and/or imaging. Several clinical prediction rules have been described in the literature during the last decade. This review focuses on the role of clinical prediction rules in the diagnostic process and their clinical application into diagnostic algorithms.
有证据表明，对于疑似肺栓塞的患者，采用包括临床预测评分、D-二聚体检测和/或影像学检查在内的诊断策略进行管理效果更好。在过去十年中，文献中已经描述了几种临床预测规则。本综述重点介绍了临床预测规则在诊断过程中的作用及其在诊断算法中的临床应用。
