van der Zant F M, Boer R O, Kooy J D, van den Bergh J H, Tiel-van Buul M M, van Royen E A
Afd. Nucleaire Geneeskunde, Medisch Centrum, Alkmaar.
Ned Tijdschr Geneeskd. 1995 Dec 2;139(48):2491-4.
Evaluation of clinical management in patients suspected of pulmonary embolism as compared with the Dutch consensus for diagnosing pulmonary embolism.
Retrospective.
Medical Centre Alkmaar.
Retrospective analysis of clinical management in patients subjected to ventilation-perfusion scintigraphy on suspicion of pulmonary embolism.
In 55 (24%) of the 225 patients included a high-probability scan was found, in 68 (30%) a non-high-probability scan and in 102 (45%) a normal scan. The clinical management in all patients with a normal or high-probability scan was according to the consensus. In the 68 patients with a non-high-probability scan the consensus was completely followed in 16%, partially in 18% and not at all in 66%.
Clinical management of patients with a non-high-probability scan in the vast majority of cases was not according to the consensus. The consensus was followed in all patients with a normal or high-probability scan.
将疑似肺栓塞患者的临床管理与荷兰肺栓塞诊断共识进行比较。
回顾性研究。
阿尔克马尔医疗中心。
对疑似肺栓塞而接受通气-灌注闪烁扫描的患者的临床管理进行回顾性分析。
在纳入的225例患者中，55例（24%）扫描结果为高概率，68例（30%）为非高概率，102例（45%）为正常。所有扫描结果正常或高概率的患者的临床管理均符合共识。在68例扫描结果为非高概率的患者中，16%完全遵循共识，18%部分遵循，66%完全未遵循。
绝大多数扫描结果为非高概率的患者的临床管理不符合共识。所有扫描结果正常或高概率的患者均遵循了共识。
