Bronze L, Gil V M, Canada M, Oliveira L, Fonseca C, Seabra-Gomes R
Serviço de Cardiologia, Hospital de Santa Cruz, Carnaxide.
Rev Port Cardiol. 1998 Mar;17(3):251-6.
The acute clinical evolution is presented of a patient with previous myocardial infarction who was admitted for dyspnea and chest pain. Acknowledging the possibility of a new ischemic event, confronted with aortic dissection or pulmonary embolism, the clinical investigation is described up to the scintigraphic diagnosis of pulmonary embolism. The clinical presentation, diagnostic investigation and therapeutic decisions are discussed, with emphasis on the usefulness of pulmonary scintigraphy.
本文介绍了一名曾患心肌梗死的患者因呼吸困难和胸痛入院后的急性临床病程。考虑到可能发生新的缺血性事件、面对主动脉夹层或肺栓塞的情况，描述了直至通过闪烁扫描诊断为肺栓塞的临床检查过程。讨论了临床表现、诊断检查和治疗决策，重点强调了肺闪烁扫描的作用。
