上海交通大学学报（医学版）

›› 2010, Vol. 30 ›› Issue (12): 1554-.doi: 10.3969/j.issn.1674-8115.2010.12.025

• 综述 • 上一篇    下一篇

超声心动图检查在肺栓塞诊断中的应用

张馨赟1,2, 季晓微1,2, 严惟力2, 熊 屏1   

  1. 上海交通大学 医学院 1.附属第九人民医院超声科, 上海 200011；2.附属仁济医院核医学科, 上海 200127
  • 出版日期:2010-12-25 发布日期:2010-12-31
  • 通讯作者: 熊 屏, 电子信箱: allabout@126.com。
  • 作者简介:张馨赟（1988—）, 女, 硕士生；电子信箱: 244476403@qq.com。
  • 基金资助:

    国家自然科学基金（30770599）；上海市教委科技创新项目(09YZ82)； 上海市重点学科建设项目（S30203）

Clinical value of echocardiography in diagnosis of pulmonary embolism

ZHANG Xin-yun1,2| JI Xiao-wei1,2, YAN Wei-li2, XIONG Ping1   

  1. 1.Department of Echocardiography, The Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanhai 200011, China；2.Department of Nuclear Medicine, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200127, China
  • Online:2010-12-25 Published:2010-12-31
  • Supported by:

    National Natural Science Foundation of China, 30770599；Shanghai Education Committee Foundation, 09YZ82；Shanghai Key Discipline Construction Project, S30203

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摘要：

肺栓塞（PE）是一种发病率和病死率较高的急危重病，临床上有多种检查方法可以帮助诊断。超声心动图在明确PE的临床类型、评价PE的血流动力学改变和随访治疗效果等方面具有重要价值。临床上主要应用经胸廓超声与经食管超声检查，两者均有较高的敏感性和特异性。相比其他影像学检查，超声心动图对急性PE患者的处理效果更好。文章就超声技术在PE诊断中的应用价值以及国内外的研究进展作一综述。

关键词: 肺栓塞, 经胸廓超声心动图, 经食管超声心动图, 右心室负荷

Abstract:

Pulmonary embolism is an emergency condition with high morbidity and mortality, and many methods can help to diagnosis pulmonary embolism. Echocardiography is of great value in the determination of clinical types of PE and evaluation of hemodynamics of PE and therapeutic effect. Transthoracic echocardiography and transesophageal echocardiography are commonly used clinically, and both possess relatively higher sensitivity and specificity. Echocardiography outperforms the other imaging examinations in the diagnosis of acute pulmonary embolism. The roles of echocardiography in the diagnosis of pulmonary embolism are reviewed in this article.

Key words: pulmonary embolism, transthoracic echocardiography, transesophageal echocardiography, right ventricular load