DIAGNOSTIC USE OF EMERGENCY DEPARTMENT ECHOCARDIOGRAM IN MASSIVE PULMONARY EMBOLI

被引：14

作者：

JOHNSON, ME ^{[1
]}

FURLONG, R ^{[1
]}

SCHRANK, K ^{[1
]}

机构：

[1] JACKSON MEM HOSP,DIV EMERGENCY MED,ROOM 1186,E TOWER,MIAMI,FL 33136

来源：

ANNALS OF EMERGENCY MEDICINE | 1992年 / 21卷 / 06期

关键词：

echocardiography; pulmonary embolism;

D O I：

10.1016/S0196-0644(05)82800-8

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Massive pulmonary embolism represents a small percentage of patients presenting to the emergency department with clinical symptoms suggestive of embolic phenomenon. Definitive therapy with thrombolytics or embolectomy is usually delayed until angiographic verification of the clinical suspicion can be obtained. A case is described in which embolectomy was based on clinical diagnosis and confirmatory echocardiogram obtained in the ED. The rapid diagnostic role of echocardiographic data in a subset of patients presenting with clinical symptoms suggestive of massive pulmonary emboli deserves further evaluation.

引用

页码：760 / 763

页数：4

共 20 条

[1]

Dale, Alpert, Natural history of pulmonary embolism, Progress in Cardiovascular Diseases, 17, pp. 259-270, (1975)

[2]

Sautter, Myers, Ray, Et al., Pulmonary embolectomy: Review and current status, Prog Cardiovasc Dis, 17, pp. 371-389, (1975)

[3]

Donaldson, Williams, Scannell, Et al., A reappraisal of the application of the Trendelenberg operation to massive fatal embolism, N Engl J Med, 268, pp. 171-174, (1963)

[4]

Sasahara, Stein, Simon, Et al., Pulmonary angiography in the diagnosis of thromboembolic disease, N Eng J Med, 270, pp. 1075-1081, (1964)

[5]

Alderson, Martin, Pulmonary embolism: Diagnosis with multiple imaging modalities, Radiology, 164, pp. 297-312, (1987)

[6]

Kelley, Carson, Palevsky, Et al., Diagnosing pulmonary embolism: New facts and strategies, Ann Intern Med, 114, pp. 300-306, (1991)

[7]

Urokinase Pulmonary Embolism Trial Phase I results A cooperative study, JAMA, 214, pp. 2163-2172, (1970)

[8]

UrokinaseSreptokinase Pulmonary Embolism Trial Phase II results, JAMA, 229, pp. 1606-1613, (1974)

[9]

Kessler, Droy, Goldnaber, Acute pulmonary embolism treated with thrombolytic agents: Current status of TPA and future implications for emergency medicine, Ann Emerg Med, 17, pp. 1216-1220, (1988)

[10]

Sasahara, Barsarmian, Another look at pulmonary embolectomy, Ann Thorac Surg, 16, pp. 317-319, (1973)

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