Rubinstein I, Murray D, Hoffstein V
Department of Medicine, St Michael's Hospital, University of Toronto, Ontario, Canada.
Arch Intern Med. 1988 Jun;148(6):1425-6.
To determine the accuracy of the antemortem diagnosis of major pulmonary embolism, we reviewed 1276 autopsy reports at St Michael's Hospital, Toronto, from 1980 to 1984. Of 44 patients identified with major pulmonary embolism as the cause of death or a major factor contributing to it, 14 (31.8%) had the diagnosis suspected before death. We could not find any distinctive features separating these patients from those in whom the diagnosis of pulmonary embolism was not suspected before death. We conclude that major pulmonary embolism is still underdiagnosed in hospitalized patients, despite the availability of lung scanning and pulmonary angiography.
为确定生前对主要肺栓塞的诊断准确性，我们回顾了1980年至1984年多伦多圣迈克尔医院的1276份尸检报告。在44例被确定为主要肺栓塞是死亡原因或主要促成因素的患者中，14例（31.8%）在死亡前被怀疑患有该病。我们未能发现任何将这些患者与死亡前未怀疑患有肺栓塞的患者区分开来的显著特征。我们得出结论，尽管有肺部扫描和肺血管造影检查，但住院患者中主要肺栓塞仍未得到充分诊断。
