超声检查在肺动脉栓塞诊断中的临床价值  

The clinical significance of ultrasound in diagnosing pulmonary embolism

作　　者：殷哲煜[1] 卫丽[2] 连杰[1] 张毅红[1] 白云燕[1] 董晓秋[1] 

机构地区：[1]哈尔滨医科大学附属第四医院超声科,黑龙江哈尔滨150001 [2]哈尔滨医科大学附属第四医院心血管内科,黑龙江哈尔滨150001

出　　处：《中国实验诊断学》2008年第9期1122-1123,共2页Chinese Journal of Laboratory Diagnosis

摘　　要：目的探讨超声检查在肺动脉栓塞诊断中的临床价值。方法86例经CT、核素扫描以及肺动脉造影确诊的肺栓塞病例,同时行超声心动图和下肢深静脉超声检查。结果超声心动图发现2例右房或肺动脉内血栓直接征像,58例右心系统形态改变及肺动脉压升高等间接征像。周围血管超声检出合并下肢深静脉血栓52例。结论超声检查发现肺动脉栓塞直接或间接征像可以明确诊断或疑似诊断,所以对临床疑诊肺栓塞患者必须做具有诊断和筛查临床价值的超声心动图和下肢深静脉超声检查。Objective Research for the clinical value of ultrasound of in diagnosing pulmonary embolism.Methods Echocardiogram and ultrasonagraphy for deep veins in lower limbs were performed simultaneously on 86 cases with pulmonary embolism confirmed by CT, pulmonary arteriography and radionuclide scanning. Results Direct signs of right atrial or pulmonary arterial embolism were observed on 5 cases and, indirect signs of right heart system changes and pulmonary pressure elevation on 58 cases. Complicated deep vein embolism in lower limbs was detected by peripheral vascular ultrasound. Conclusion Pulmonary embolism can be diagnosed or prediagnosed with direct or indirect signs detected by ultrasound. Therefore clinically the patients with suspected pulmonary embolism must undergo echocardiogram and ultrasonagraphy for deep veins in lower limbs which axe valuable for diagnosis and screening.

关 键 词：超声心动图 肺栓塞 

分 类 号：R563.5[医药卫生—呼吸系统]