BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 胸痛
  • 呼吸困难
  • 呼吸急促

其他诊断因素

  • 恐惧感
  • 咳嗽
  • 心动过速
  • 发热

危险因素

  • 年龄增长
  • 深静脉血栓形成 (DVT) 诊断
  • 近 2 个月内有手术史
  • 卧床休息>5 日

诊断性检查

首要检查

  • Wells 量表/Geneva 评分
  • 多排螺旋 CT 肺动脉造影 (CTPA)
  • 通气与血流灌注比值 (V/Q) 扫描
  • 凝血功能检查
全部具体信息

需要考虑的检查

  • 胸部 X 线检查 (CXR)
  • 磁共振 (MR) 血管造影术
  • 肺血管造影术
  • 心电图 (ECG)
全部具体信息

新兴检查

  • 脑利钠肽 (BNP)、N 末端脑钠肽前体 (NT-proBNP)、心型脂肪酸结合蛋白 (H-FABP)
全部具体信息

治疗流程

贡献者

Professor of Medicine and Surgery

Section of Vascular Medicine, Department of Surgery

Co-Director

Jefferson Vascular Center

Sidney Kimmel Medical College at Thomas Jefferson University

Thomas Jefferson University Hospitals

Philadelphia

PA

利益冲突披露
GM has received grants or research support from BMS, J&J, Sanofi-Aventis, Portola, and Janssen; he has served as a Scientific Consultant for BMS, J&J, and Sanofi-Aventis.

Assistant Professor of Medicine and Surgery

Section of Vascular Medicine, Department of Surgery

Sidney Kimmel Medical College at Thomas Jefferson University

Thomas Jefferson University Hospitals

Philadelphia

PA

利益冲突披露
LHE declares that he has no competing interests.

Assistant Professor of Medicine and Surgery

Section of Vascular Medicine, Department of Surgery

Sidney Kimmel Medical College at Thomas Jefferson University

Thomas Jefferson University Hospitals

Philadelphia

PA

利益冲突披露
TG declares that he has no competing interests.

Assistant Professor of Medicine and Surgery

Section of Vascular Medicine, Department of Surgery

Sidney Kimmel Medical College at Thomas Jefferson University

Thomas Jefferson University Hospitals

Philadelphia

PA

利益冲突披露
GO declares that he has no competing interests.

Dr Geno Merli, Dr Luis H. Eraso, Dr Taki Galanis, and Dr Geoffrey Ouma would like to gratefully acknowledge Dr Miguel Angel de Gregorio, Dr Alicia Laborda, and Dr Seth W. Clemens, previous contributors to this monograph. MAG, AL, and SWC declare that they have no competing interests.

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Professor of Medicine

Department of Internal Medicine

University of Utah

Director

Thrombosis Clinic

Intermountain Medical Center

Salt Lake City

UT

利益冲突披露
SMS is an investigator for two investigator-initiated clinical trials for which his institution receives funds from Bristol-Myers Squibb to enrol patients.

Associate Professor of Medicine

University of Alabama at Birmingham

Birmingham

AL

利益冲突披露
KW declares that he has no competing interests.

Associate Professor of Pediatrics

Medical Director

Pediatric Cardiothoracic Intensive Care Unit

University of Michigan Congenital Heart Center

C.S. Mott Children's Hospital

Ann Arbor

MI

利益冲突披露
JRC declares that he has no competing interests.

Advanced Clinical Fellow

Cleveland Clinic Foundation

Cleveland

OH

利益冲突披露
SW declares that he has no competing interests.

Respiratory Physician and Associate Professor

Ramón y Cajal Hospital and Alcalá de Henares University

Respiratory Department and Medicine Department

Madrid

Spain

利益冲突披露
DJ has received consulting fees from Boehringer Ingelheim, Bayer, Leo-Pharm, and Rovi, and lecture fees from Sanofi Aventis.

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