Komissarova Maria, Chong Suzanne, Frey Kirk, Sundaram Baskaran
Divisions of Emergency, Cardiothoracic and Nuclear Radiology, Department of Radiology, University of Michigan, 1500 E. Medical Center Drive, TC B1-140D, Ann Arbor, MI 48109, USA.
Emerg Radiol. 2013 Apr;20(2):89-101. doi: 10.1007/s10140-012-1080-x. Epub 2012 Nov 14.
Acute pulmonary thromboembolism (PE) is a cardiovascular emergency associated with significant morbidity and a 5-35 % mortality for untreated pulmonary embolism. If promptly diagnosed and treated, the mortality rate can be significantly reduced. Diagnosis of acute PE continues to be a clinical challenge, with diagnostic imaging playing an important role. This review discusses the clinical challenges of diagnosing acute PE, presents an evidence-based review of the current tests and ever-evolving imaging technology, and highlights special considerations related to radiation dose, contrast media use, and pregnant patients.
急性肺血栓栓塞症（PE）是一种心血管急症，与显著的发病率相关，未经治疗的肺栓塞死亡率为5%-35%。如果能及时诊断和治疗，死亡率可显著降低。急性PE的诊断仍然是一项临床挑战，诊断性影像学发挥着重要作用。本文综述讨论了诊断急性PE的临床挑战，对当前的检查和不断发展的成像技术进行了循证综述，并强调了与辐射剂量、造影剂使用和孕妇相关的特殊注意事项。
