Mercandetti A J, Kipper M S, Moser K M
West J Med. 1985 Feb;142(2):208-13.
We examined the influence of perfusion (Q) and ventilation (V) scans on therapeutic decision making and outcome among 229 patients referred for lung scans because embolism was suggested and found that specific V/Q scan patterns strongly influenced postscan decisions regarding initiation, maintenance or cessation of heparin therapy. These therapeutic decisions bore a relationship to outcome (recurrences and death) and disclosed decision-making deficits that need remedy by future investigational and educational efforts.
我们对229名因疑似肺栓塞而接受肺部扫描的患者进行了研究，以探讨灌注（Q）和通气（V）扫描对治疗决策及预后的影响。结果发现，特定的V/Q扫描模式对扫描后关于肝素治疗的起始、维持或终止的决策有强烈影响。这些治疗决策与预后（复发和死亡）相关，并揭示了决策缺陷，未来需要通过研究和教育努力加以纠正。
