Kierkegaard A
Medicinska kliniken, Länssjukhuset, Halmstad.
Lakartidningen. 1998 Aug 19;95(34):3543-6.
Echocardiographic diagnosis of acute pulmonary embolism as illustrated by three case reports is discussed in the article. Acute pulmonary embolism was diagnosed by demonstration of right heart strain in one case, of long vermiform thrombi floating in the right atrium in another, and in the third case by demonstration of a long thrombus lodged in the foramen ovale, astride the atrial septum, and with its ends floating in either atrium. Thus, as echocardiography enables pulmonary embolism to be diagnosed by demonstration either of right heart strain or of intracardial thrombi, it is a useful diagnostic tool in cases of haemodynamic compromise, though it does not detect minor pulmonary embolism.
本文通过三例病例报告讨论了超声心动图对急性肺栓塞的诊断。其中一例通过显示右心劳损诊断为急性肺栓塞，另一例通过显示右心房内漂浮的长蚯蚓状血栓诊断，第三例通过显示位于卵圆孔、横跨房间隔且两端分别漂浮于左右心房的长血栓诊断。因此，由于超声心动图能够通过显示右心劳损或心内血栓来诊断肺栓塞，在血流动力学受损的病例中它是一种有用的诊断工具，不过它无法检测出轻微的肺栓塞。
