Hamostaseologie. 2018 Feb;38(1):11-21. doi: 10.5482/HAMO-17-07-0023. Epub 2018 Feb 26.
During the last three decades, considerable advances in the management of patients with suspected pulmonary embolism (PE) have improved diagnostic accuracy and made management algorithms safer, easier to use and well standardized. These diagnostic algorithms are mainly based on the assessment of clinical pretest probability, D-Dimer measurement and imaging tests, mainly computed tomography pulmonary angiography (CTPA). These diagnostic algorithms allow a safe and cost-effective diagnosis for most patients with suspected PE.In this review, we discuss current existing evidence for PE diagnosis, the challenge of diagnosing PE in special patient populations, as well as novel imaging tests for PE diagnosis.
在过去的三十年中，对疑似肺栓塞（PE）患者的管理取得了重大进展，提高了诊断准确性，并使管理算法更安全、更易用且得到了很好的标准化。这些诊断算法主要基于临床前测试概率评估、D-二聚体测量和影像学检查，主要是计算机断层扫描肺动脉造影（CTPA）。这些诊断算法可安全有效地诊断大多数疑似 PE 患者。在这篇综述中，我们讨论了目前存在的 PE 诊断证据，在特殊患者人群中诊断 PE 的挑战，以及用于 PE 诊断的新型影像学检查。
