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肺栓塞的放射性同位素诊断方法(作者译)

[Radioisotopic methods of diagnosis in pulmonary embolism (author's transl)].

作者信息

Schicha H, Emrich D

出版信息

Rontgenblatter. 1979 Nov;32(11):621-9.

PMID:515653
Abstract

Pulmonary profusion scintigraphy is a simple, noninvasive and low-cost method for identifying acute pulmonary embolism. Although the method is highly sensitive, it is relatively non-specific, so that final assessment must include history, clinical findings and plain roentgenography of the thorax. Pulmonary scintigraphy is indicated whenever acute pulmonary embolism is suspected, on account of the therapeutic consequences resulting therefrom, in all cases where clinical findings and basic diagnosis cannot definitely establish the disease. It must not, however, be considered as an alternative to angiography of the pulmonary artery; as a matter of fact, it should be employed early and frequently in view of the high percentage of undiagnosed embolism of the lungs during the patients' lifetime.

摘要

肺灌注闪烁扫描是一种用于识别急性肺栓塞的简单、无创且低成本的方法。尽管该方法具有高度敏感性,但相对缺乏特异性,因此最终评估必须包括病史、临床发现以及胸部X线平片。每当怀疑有急性肺栓塞时,鉴于其带来的治疗后果,在临床发现和基本诊断无法明确确诊疾病的所有情况下,均应进行肺闪烁扫描。然而,它不应被视为肺动脉造影的替代方法;事实上,鉴于患者一生中未被诊断出的肺栓塞比例较高,应尽早且频繁地使用该方法。

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