Abuserewa Sherif T, Duff Richard
Internal Medicine, Grand Strand Regional Medical Center, Myrtle Beach, USA.
Pulmonary and Critical Care Medicine, Grand Strand Medical Center, Myrtle Beach, USA.
Cureus. 2021 Feb 17;13(2):e13404. doi: 10.7759/cureus.13404.
The diagnosis of pulmonary embolism (PE) needs clinical manifestations and radiological findings. CT angiography (CTA) of pulmonary vessels is the gold standard of diagnosis of PE. However, endobronchial ultrasound (EBUS) can be a reliable and accurate alternative method of diagnosis in patients who are not candidates for CTA. Invasiveness and high cost are still the major limitations for EBUS, however, they should be considered in the appropriate population in future practice. We present a case of a 62-year-old asymptomatic male diagnosed with PE during EBUS for mediastinal lymph node assessment and biopsy.
肺栓塞（PE）的诊断需要结合临床表现和影像学检查结果。肺血管CT血管造影（CTA）是诊断PE的金标准。然而，对于不适合进行CTA检查的患者，支气管内超声（EBUS）可以作为一种可靠且准确的替代诊断方法。尽管侵入性和高成本仍是EBUS的主要局限性，但在未来的临床实践中，对于合适的患者群体应考虑采用该方法。我们报告了一例62岁无症状男性患者，在进行EBUS检查以评估纵隔淋巴结并进行活检时被诊断为PE。
