肺栓塞。高危患者的评估与治疗策略。

Pulmonary embolism. Strategy for evaluation and treatment of patients at increased risk.

作者信息

Wenger N K

机构信息

Emory University School of Medicine, Atlanta, GA 30303.

出版信息

Postgrad Med. 1988 Aug;84(2):107-15. doi: 10.1080/00325481.1988.11700367.

DOI:10.1080/00325481.1988.11700367

PMID:3399459

Abstract

Pulmonary embolism is a common clinical problem, particularly in hospitalized patients. Its recognition is difficult because no single sign, symptom, or laboratory test is diagnostic for its presence. A high index of suspicion must be maintained for predisposed patients. The diagnostic algorithm presented here suggests an approach to definitive assessment. Anticoagulation, the management of choice, is highly effective in reducing thromboembolic deaths and in preventing recurrent pulmonary embolism. Low-dose anticoagulant therapy may also be preventive.

摘要

肺栓塞是一个常见的临床问题，在住院患者中尤为如此。其诊断困难，因为没有单一的体征、症状或实验室检查能够确诊其存在。对于易感患者必须保持高度的怀疑指数。这里给出的诊断算法提示了一种进行明确评估的方法。抗凝治疗是首选的治疗方法，在降低血栓栓塞性死亡及预防复发性肺栓塞方面非常有效。小剂量抗凝治疗也可能具有预防作用。