CAJ | 학술논문

肺栓塞(pulmonary embolism，PE)作为严重威胁人类生命的疾病，临床表现形式多样，且缺乏特异性，误诊率高。常用的无创诊断手段包括心电图、胸部X线、D-二聚体定量、血气分析、心脏超声、CT肺血管成像及核素肺通气灌注扫描等。有创检查主要是肺血管造影。 CT肺血管成像已经逐步被认为是取代肺血管造影的无创检查之首选。肺栓塞的主要治疗包括病因干预、抗栓治疗、外科治疗及并发症对症支持等治疗。对急性大面积血栓患者，溶栓治疗疗效优于单纯抗凝，抗凝治疗是肺栓塞的基础治疗。
폐전새(pulmonary embolism，PE)작위엄중위협인류생명적질병，림상표현형식다양，차결핍특이성，오진솔고。상용적무창진단수단포괄심전도、흉부X선、D-이취체정량、혈기분석、심장초성、CT폐혈관성상급핵소폐통기관주소묘등。유창검사주요시폐혈관조영。 CT폐혈관성상이경축보피인위시취대폐혈관조영적무창검사지수선。폐전새적주요치료포괄병인간예、항전치료、외과치료급병발증대증지지등치료。대급성대면적혈전환자，용전치료료효우우단순항응，항응치료시폐전새적기출치료。
Pulmonary embolism (pulmonary embolism, PE) as a serious threat to the health and life of human beings, clinical manifestations, and lack of specificity, the high rate of misdiagnosis. Commonly used noninvasive diagnostic methods including ECG, chest X-ray, D one or two dimer quantitative, blood gas analysis, cardiac ultrasound, CT pulmonary angiography and radionuclide pulmonary ventilation perfusion scan. Invasive examination is mainly pulmonary angiography. CT pulmonary angiography have been considered to be the first choice to replace the noninvasive pulmonary angiography. The main treatment of pulmonary embolism included cause intervention, antithrombotic therapy, surgical treatment and complications of symptomatic and supportive treatment. Of the patients with acute large area of thrombosis, thrombolytic therapy ef ect is bet er than pure anticoagulation, anticoagulant therapy is the basic treatment of pulmonary embolism.