Ouellette David W, Patocka Catherine
Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
Emerg Med Clin North Am. 2012 May;30(2):329-75, viii. doi: 10.1016/j.emc.2011.12.004.
Pulmonary embolism (PE) remains one of the most challenging medical diseases in the emergency department. PE is a potentially life threatening diagnosis that is seen in patients with chest pain and/or dyspnea but can span the clinical spectrum of medical presentations. In addition, it does not have any particular clinical feature, laboratory test, or diagnostic modality that can independently and confidently exclude its possibility. This article offers a review of PE in the emergency department. It emphasizes the appropriate determination of pretest probability, the approach to diagnosis and management, and special considerations related to pregnancy and radiation exposure.
肺栓塞（PE）仍然是急诊科最具挑战性的医学疾病之一。PE是一种潜在的危及生命的诊断，见于胸痛和/或呼吸困难的患者，但其临床表现范围广泛。此外，它没有任何特定的临床特征、实验室检查或诊断方法能够独立且确定地排除其可能性。本文对急诊科的肺栓塞进行综述。它强调了对预检概率的恰当判定、诊断和管理方法以及与妊娠和辐射暴露相关的特殊考量。
