超声检查在急性肺栓塞诊断中的应用价值  

Usefulness of echocardiography for detecting the acute pulmonary embolism

作　　者：赵文莉[1] 徐晋梅[1] 崔远平[1] 

机构地区：[1]山西省人民医院超声科,山西太原030012

出　　处：《实用医学影像杂志》2004年第6期344-345,共2页Journal of Practical Medical Imaging

摘　　要：目的探讨超声检查在急性肺栓塞诊断中的应用价值。方法对临床综合诊断为急性肺栓塞的15例病人行超声心动图检查,综合分析。结果经超声心动图检查15例患者,发现右房内血栓1例,肺动脉内血栓1例。15例均有右心负荷过重表现,伴有不同程度的三尖瓣返流,返流速度加快,肺动脉压明显增高。7例发现下肢深静脉内血栓。结论超声心动图在肺动脉栓塞病人的筛查、评价患者的右心功能及疗效方面有重要价值。Objective To assess the value of echocardiography in the diagnosis of acute pulmonary embolism.Methods Fifteen patients with clinically diagnosed acute pulmonary embolism underwent echocardiography.The ultrasonic findings of acute pulmonary embolism in all patients were analyzed comprehensively.Results Among 15 patients examined by echocardiography,right atrium thrombus was found in 1 case,pulmonary artery thrombus in 1,clinical symptoms of right heart overload accompanied with tricuspid regurgitation to varied degrees,accelerated regurgitation speed and increased pulmonary artery pressure in 15,and lower extremity deep venae thrombus in 7.Conclusion Eechocardiography has important value for detecting thrombi in right heart and pulmonary artery or for evaluating right ventricular function and therapeutic efficary in the patients with pulmonary embolism.

关 键 词：超声心动图 肺栓塞 右心负荷过重 三尖瓣返流 

分 类 号：R445.1[医药卫生—影像医学与核医学] R563.5[医药卫生—诊断学]