摘要: Die Diagnose der akuten Lungenembolie bleibt weiterhin eine schwierige Aufgabe aufgrund haufig unspezifischen klinischen Symptomatik Patienten. Trotz Verfugbarkeit szintigraphischer und angiographischer Verfahren konnte in den vergangenen drei Jahrzehnten keine deutliche Verbesserung Nachweisrate oder Prognose venosen Thromboembolie erzielt werden, insbesondere bei Patienten mit hamodynamisch wirksamen Ereignissen. Diese Erkenntnis unterstreicht die Notwendigkeit eines effektiveren Behandlungskonzepts klar definierten Prioritaten auf Basis einer Risikostratifikation
springer.com
sci-hub.se 参考文章(41)
Pioped Investigators, Value of the ventilation/perfusion scan in acute pulmonary embolism. Results of the prospective investigation of pulmonary embolism diagnosis (PIOPED). JAMA. ,vol. 263, pp. 2753- 2759 ,(1990) , 10.1001/JAMA.1990.03440200057023
H Bounameaux, P de Moerloose, A Perrier, G Reber, Plasma measurement of D-dimer as diagnostic aid in suspected venous thromboembolism: an overview. Thrombosis and Haemostasis. ,vol. 71, pp. 1- 6 ,(1994) , 10.1055/S-0038-1642375
M Remy-Jardin, J Remy, L Wattinne, F Giraud, Central pulmonary thromboembolism: diagnosis with spiral volumetric CT with the single-breath-hold technique--comparison with pulmonary angiography. Radiology. ,vol. 185, pp. 381- 387 ,(1992) , 10.1148/RADIOLOGY.185.2.1410342
Narayanswami Sreeram, Emile C. Cheriex, Joep L.R.M. Smeets, Anton P. Gorgels, Hein J.J. Wellens, Value of the 12-lead electrocardiogram at hospital admission in the diagnosis of pulmonary embolism American Journal of Cardiology. ,vol. 73, pp. 298- 303 ,(1994) , 10.1016/0002-9149(94)90237-2
James D Douketis, Clive Kearon, Shannon Bates, Eric K Duku, Jeffrey S Ginsberg, Risk of fatal pulmonary embolism in patients with treated venous thromboembolism. JAMA. ,vol. 279, pp. 458- 462 ,(1998) , 10.1001/JAMA.279.6.458
Jack Hirsh, John Hoak, Management of Deep Vein Thrombosis and Pulmonary Embolism: A Statement for Healthcare Professionals From the Council on Thrombosis (in Consultation With the Council on Cardiovascular Radiology), American Heart Association Circulation. ,vol. 93, pp. 2212- 2245 ,(1996) , 10.1161/01.CIR.93.12.2212
J. Hirsh, G. S. Hale, I. G. McDonald, R. A. McCarthy, A. Pitt, Streptokinase Therapy in Acute Major Pulmonary Embolism: Effectiveness and Problems BMJ. ,vol. 4, pp. 729- 734 ,(1968) , 10.1136/BMJ.4.5633.729
Gérard Pacouret, Free-Floating Thrombus and Embolic Risk in Patients With Angiographically Confirmed Proximal Deep Venous Thrombosis Archives of Internal Medicine. ,vol. 157, pp. 305- 308 ,(1997) , 10.1001/ARCHINTE.1997.00440240067010
Stavros Konstantinides, Annette Geibel, Wolfgang Kasper, Manfred Olschewski, Liane Blümel, Hanjörg Just, Patent Foramen Ovale Is an Important Predictor of Adverse Outcome in Patients With Major Pulmonary Embolism Circulation. ,vol. 97, pp. 1946- 1951 ,(1998) , 10.1161/01.CIR.97.19.1946
Paul D. Stein, Strategy That Includes Serial Noninvasive Leg Tests for Diagnosis of Thromboembolic Disease in Patients With Suspected Acute Pulmonary Embolism Based on Data From PIOPED Archives of Internal Medicine. ,vol. 155, pp. 2101- 2104 ,(1995) , 10.1001/ARCHINTE.1995.00430190097013