河南省神火职工总医院
纸质出版:2022
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贺静, 高婕. 不同检查方式诊断急性肺栓塞的价值[J]. 临床心电学杂志, 2022,(2):128-130+135.
He Jing, Gao jie. Application value and guiding function of different examination methods in diagnosis of acute pulmonary embolism[J]. 2022, (2): 128-130+135.
目的 探讨CT肺动脉造影(CTPA)、心电图、超声心动图在急性肺栓塞(APE)诊断中的应用价值。方法 选取我院2019年1月至2020年12月疑诊为APE患者120例,均行CTPA、心电图、超声心动图检查并依据影像学特征评估上述检查方法在APE诊断中的应用价值。结果 CT肺动脉造影结果显示120例患者中确诊为APE患者86例(APE组),非APE患者34例(非APE组),APE患者血管腔内可见不均匀低密度影,检出栓子数量共636个。急性肺栓塞组不完全性右束支阻滞(IRBBB)、V
1
导联T波倒置、V
2
导联T波倒置、出现S
I
Q
Ⅲ
T
Ⅲ
征、V
1
、V
2
导联ST段抬高
<
0.1mV、顺钟转位、房颤等占比均明显高于非APE组(p
<
0.05)。APE组三尖瓣返流、肺动脉高压、右室增大、肺动脉血栓等超声心动图征象占比均高于非APE组(p
<
0.05)。心电图诊断APE的灵敏度、特异度分别为84.88%、29.41%,超声心动图诊断APE的灵敏度、特异度分别为95.35%、85.92%,二者联合诊断APE的灵敏度、特异度分别为98.84%、91.18%。结论 CT肺动脉造影检查在APE诊断和病情评估中有重要应用价值,心电图联合超声心动图能有效提高APE诊断效能,可用于早期APE诊断。
Objective To investigate the value of CT pulmonary angiography (CTPA)
electrocardiogram and echocardiography in the diagnosis of acute pulmonary embolism (APE).Methods A total of 120 patients suspected of APE were selected from our hospital from January 2019 to December 2020.CTPA
Electrocardiogram and echocardiography were performed on all patients
and the application value of the above methods in the diagnosis of APE was evaluated accor
ding to the imaging characteristics.Results CTPA results showed that 86 of the 120 patients were confirmed as APE-ape (APE group) and 34 were non-APE (non-APE group).There were uneven low-density shadows in the vascular lumen of APE patients
and 636 emboli were detected.The proportion of incomplete right beam branch block (IRBBB)
T wave inversion in lead V
1
T wave inversion in lead V
2
S
I
Q
Ⅲ
T
Ⅲ
sign
ST segment elevation in lead V
1
and lead V
2
<
0.1mV
turn clockwise and atrial fibrillation in APE group were significantly higher than those in non-APE group (p
<
0.05).The proportion of echocardiographic signs such as tricuspid regurgitation
pulmonary hypertension
right ventricular enlargement and pulmonary artery thrombosis in APE group was higher than that in non-APE group (p
<
0.05).The sensitivity and specificity of electrocardiogram in diagnosing APE were 84.88%
29.41% respectively
the sensitivity and specificity of echocardiogram in diagnosing APE were 95.35%
85.92%respectively
and the sensitivity and specificity of both in diagnosing APE were 98.84%
91.18% respectively.Conclusions The increase of FPG and NE counts in early pregnancy is related to the occurrence of GDM.FPG and NE counts can be used as important index to predict the occurrence of GDM.
修正的Geneva评分与Daniel心电图评分和D-二聚体预测急性肺栓塞的临床意义[J]. 邵泽波;李群星;赵新华;袁刚;尹德录.中国临床保健杂志,2021(02)
两种量表预测D-二聚体异常患者肺栓塞形成的效果比较[J]. 洪都;徐军;王春英;陆萍;房君;陈瑜.中华现代护理杂志,2019(04)
基于栓子形态与数量对急性肺栓塞患者心功能的预测价值[J]. 问雷涛;沈聪;银楠;王君;周晟;董馥闻;于楠;郭佑民.实用放射学杂志,2018(12)
心电图评分联合D-二聚体对肺栓塞的预测价值的临床研究[J]. 覃少佳;邓碧玉.当代医学,2018(16)
老年肺栓塞早期诊断延误的影响因素研究[J]. 徐琪;周瑞清;王红旗;孙良;万俊峰.中国全科医学,2018(07)
急性肺栓塞患者心电图特征分析[J]. 余俊;刘荣玲;阮明珠;王定传.内科,2017(02)
心电图在院前急救中对急性肺栓塞诊断评估的探讨[J]. 韩鹏达;高丁.中国临床医生杂志,2017(04)
超声心动图和心电图联合检查在急性肺栓塞中的临床诊断价值分析[J]. 何小莲;张瑾;李碧妍;骆双燕.四川生理科学杂志,2017(01)
急性肺栓塞患者心电图动态演变的特点分析[J]. 王艳彩;刘卫民.临床心电学杂志,2017(01)
Tissue perfusion alterations correlate with mortality in patients admitted to the intensive care unit for acute pulmonary embolism: An observational study.[J]. Urbina Tomas;Bigé Na?ke;Nguyen Yann;Boelle Pierre-Yves;Dubée Vincent;Joffre Jérémie;Abdallah Idriss;Baudel Jean-Luc;Maury Eric;Guidet Bertrand;Ait-Oufella Hafid.Medicine,2018(42)
Anomalous Origin of Left Anterior Descending Artery and Left Circumflex Artery from Right Coronary Sinus with Malignant Left Anterior Descending Artery Course: Role of Coronary CT Angiography Derived Fractional Flow Rese[J]. Tahir Hassan;Ahmad Sajjad;Awan Muhammad U;Omar Bassam;Glass Joey;Cole Jason.Cureus,2018(8)
Increasing use of CTPA for the investigation of suspected pulmonary embolism.[J]. Sharma Sidharth;Lucas Christopher D.Postgraduate medicine,2017(2)
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