Rosselli A, Landini G, Mugnaini C, Piani F
Unità Operativa de Medicina Interna II, Ospedale S. Maria Annunziata, USL, Firenze.
G Clin Med. 1990 Aug-Sep;71(8-9):507-11, 514-5.
The Authors have used, on a group of 51 patients, a score-system for the clinical diagnosis of pulmonary embolism. This system is based on clinical examination of the patients and utilizes a different value for each sign and symptom: each sign and symptom correspond to a positive number. Every patients was also undergone instrumental tests to confirm the diagnosis (i.e.: perfusion lung scanning and venous doppler) according to previously defined diagnostic program. A good relationship between the instrumental diagnosis and clinical probability was found with above mentioned score-system. The AA believe that this score-system is valid and that it can be used in elaborating diagnostic decision, particularly in those cases in which the diagnosis is not established by the instrumental tests and in which is not possible to perform pulmonary angiography.
作者们对51名患者使用了一种用于肺栓塞临床诊断的评分系统。该系统基于对患者的临床检查，并且对每个体征和症状赋予不同的值：每个体征和症状对应一个正数。每位患者还根据先前定义的诊断程序接受了仪器检查以确诊（即：肺灌注扫描和静脉多普勒检查）。使用上述评分系统发现仪器诊断与临床概率之间存在良好的相关性。作者们认为该评分系统是有效的，并且可用于制定诊断决策，特别是在那些无法通过仪器检查确诊且无法进行肺血管造影的病例中。
