Frídl P, Niederle P, Widimský J, Stanĕk V
Cor Vasa. 1986;28(4):276-81.
Twenty-two patients with acute pulmonary embolism were examined by M-mode echocardiography. It was possible to examine both ventricles (with precordial approach) and the right branch of the pulmonary artery (with suprasternal approach) in all patients. With significant pulmonary embolism there occurs dilatation of the right ventricle and of the right branch of the pulmonary artery. The size of the right branch of the pulmonary artery in patients was significantly different from that of healthy volunteers. However, no significant correlation between the degree of anatomic changes (documented by echocardiography) and haemodynamics in the lesser circulation was found. Literature concerning other possibilities of echocardiography in the diagnosis of acute pulmonary embolism is reviewed. Echocardiography represents a suitable complement to diagnostic methods used for the assessment of acute states.
对22例急性肺栓塞患者进行了M型超声心动图检查。所有患者均能通过心前区途径检查两个心室，通过胸骨上窝途径检查肺动脉右支。在严重肺栓塞时，右心室和肺动脉右支会出现扩张。患者肺动脉右支的大小与健康志愿者有显著差异。然而，未发现（超声心动图记录的）解剖学改变程度与小循环血流动力学之间存在显著相关性。本文综述了超声心动图在急性肺栓塞诊断中其他应用可能性的相关文献。超声心动图是用于评估急性病情的诊断方法的合适补充。
