Pulmonary Embolism

被引：12
作者：
Ouellette, David W. [1 ,2 ]
Patocka, Catherine [3 ]
机构：
[1] London Hlth Sci Ctr, Div Emergency Med, Dept Med, London, ON N6A 5W9, Canada
[2] Univ Western Ontario, Dept Med, Schulich Sch Med & Dent, London, ON, Canada
[3] McGill Univ, McGill Emergency Med Residency Program, Royal Victoria Hosp, Montreal, PQ H3A 1A1, Canada
来源：
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA | 2012年 / 30卷 / 02期
关键词：
Pulmonary embolism; Diagnosis; Pregnancy; Radiation; Venous thromboembolism; Thrombophilia; Anticoagulation; Emergency department; DEEP-VEIN THROMBOSIS; MOLECULAR-WEIGHT HEPARIN; VENOUS THROMBOEMBOLIC DISEASE; EMERGENCY-DEPARTMENT PATIENTS; SPIRAL COMPUTED-TOMOGRAPHY; MAGNETIC-RESONANCE ANGIOGRAPHY; ASSESSING CLINICAL PROBABILITY; REVISED GENEVA SCORE; RULE-OUT CRITERIA; D-DIMER ASSAY;
D O I：
10.1016/j.emc.2011.12.004
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Pulmonary embolism (PE) remains one of the most challenging medical diseases in the emergency department. PE is a potentially life threatening diagnosis that is seen in patients with chest pain and/or dyspnea but can span the clinical spectrum of medical presentations. In addition, it does not have any particular clinical feature, laboratory test, or diagnostic modality that can independently and confidently exclude its possibility. This article offers a review of PE in the emergency department. It emphasizes the appropriate determination of pretest probability, the approach to diagnosis and management, and special considerations related to pregnancy and radiation exposure.
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收藏
页码：329 / +
页数：48
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