Chiu Victor, O'Connell Casey
1 Keck School of Medicine of the University of Southern California, 1441 Eastlake Ave, NOR 3470, Los Angeles, CA 90033.
AJR Am J Roentgenol. 2017 Mar;208(3):485-488. doi: 10.2214/AJR.16.17201. Epub 2016 Dec 22.
The incidental pulmonary embolism (PE) is being identified at an increasing rate because of use of MDCT and presents a management challenge because of a lack of prospective data. Most clinicians treat patients with proximal or segmental incidental PE in the same manner as patients with suspected PE.
The treatment of subsegmental PE may be guided by an assessment of patient symptoms, risk factors for recurrent venous thrombosis, and concomitant deep venous thrombosis.
由于多层螺旋CT(MDCT)的应用,偶发性肺栓塞(PE)的检出率不断上升,且由于缺乏前瞻性数据,其管理面临挑战。大多数临床医生对近端或节段性偶发性PE患者的治疗方式与疑似PE患者相同。
亚段性PE的治疗可通过评估患者症状、复发性静脉血栓形成的危险因素以及合并的深静脉血栓形成来指导。