“心–肺–血管”联合超声辅助诊断高危肺栓塞1例
Combined “Cardio-Pulmonary-Vascular” Ultrasound Assisted Diagnosis of High-Risk Pulmonary Embolism: A Case Report
DOI: 10.12677/jcpm.2024.33090, PDF,   
作者: 张克坚, 张琪琪:济宁医学院临床医学院,山东 济宁;王青雷*, 崔英华, 马贝贝:济宁医学院附属医院CCU,山东 济宁
关键词: 联合超声肺栓塞诊断Combined Ultrasound Pulmonary Embolism Diagnosis
摘要: 重症肺栓塞是临床中比较凶险的疾病,病因复杂多样,其中以肺血栓栓塞最为常见,其栓子大多来源与下肢静脉,以肺循环和呼吸功能障碍为主的临床表现,死亡率很高,是许多地区和国家心血管死亡的第三大原因,漏诊率和误诊率均高,且预后较差。本文结合1例肺栓塞病例资料,分析了联合“心–肺–血管”超声对急性肺栓塞的早期诊断的重要性,提高该类疾病的早期识别及鉴别,对挽救患者生命及改善预后至关重要。
Abstract: Severe pulmonary embolism is a relatively dangerous disease in clinical practice, with complex and diverse causes. Among them, pulmonary thromboembolism is the most common, and its emboli mostly originate from lower limb veins. Clinical manifestations mainly include pulmonary circulation and respiratory dysfunction, with a high mortality rate. It is the third leading cause of cardiovascular death in many regions and countries, with high rates of missed diagnosis and misdiagnosis, and a poor prognosis. This article combines data from a case of pulmonary embolism to analyze the importance of combining “Cardio-Pulmonary-Vascular” ultrasound in the early diagnosis of acute pulmonary embolism. Improving the early identification and differentiation of this type of disease is crucial for saving patient lives and improving prognosis.
文章引用:张克坚, 张琪琪, 王青雷, 崔英华, 马贝贝. “心–肺–血管”联合超声辅助诊断高危肺栓塞1例[J]. 临床个性化医学, 2024, 3(3): 630-634. https://doi.org/10.12677/jcpm.2024.33090

参考文献

[1] Giordano, N.J., Jansson, P.S., Young, M.N., Hagan, K.A. and Kabrhel, C. (2017) Epidemiology, Pathophysiology, Stratification, and Natural History of Pulmonary Embolism. Techniques in Vascular and Interventional Radiology, 20, 135-140. [Google Scholar] [CrossRef] [PubMed]
[2] Bĕlohlávek, J., Dytrych, V. and Linhart, A. (2013) Pulmonary Embolism, Part I: Epidemiology, Risk Factors and Risk Stratification, Pathophysiology, Clinical Presentation, Diagnosis and Nonthrombotic Pulmonary Embolism. Experimental and Clinical Cardiology, 18, 129-138.
[3] Marshall, P.S., Mathews, K.S. and Siegel, M.D. (2011) Diagnosis and Management of Life-Threatening Pulmonary Embolism. Journal of Intensive Care Medicine, 26, 275-294. [Google Scholar] [CrossRef] [PubMed]
[4] Konstantinides, S.V., Meyer, G., Becattini, C., Bueno, H., Geersing, G., Harjola, V., et al. (2019) 2019 ESC Guidelines for the Diagnosis and Management of Acute Pulmonary Embolism Developed in Collaboration with the European Respiratory Society (ESC). European Heart Journal, 41, 543-603. [Google Scholar] [CrossRef] [PubMed]
[5] 陈冬, 岳瑾琢. 心肺一体化超声联合下肢静脉超声在急性肺栓塞诊断中的价值[J]. 临床医学研究与实践, 2023(24): 114-117.
[6] 朱然, 马晓春. 超声诊断重症患者肺栓塞临床价值[J]. 中国实用内科杂志, 2017, 37(8): 694-697.
[7] Demelo-Rodriguez, P., Galeano-Valle, F., Salzano, A., Biskup, E., Vriz, O., Cittadini, A., et al. (2020) Pulmonary Embolism. Heart Failure Clinics, 16, 317-330. [Google Scholar] [CrossRef] [PubMed]
[8] Okubo, S., Miyatake, K., Nagata, S., Nakanishi, N., Yoshioka, T. and Kunieda, T. (1989) Role of Echocardiography in Acute Pulmonary Embolism. Japanese Heart Journal, 30, 655-664. [Google Scholar] [CrossRef] [PubMed]
[9] Murali, A., Prakash, A., Dixit, R., Juneja, M., Kumar, N. and Padaliya, P. (2023) Lung Ultrasound: A Complementary Imaging Tool for Chest X-Ray in the Evaluation of Dyspnea. Indian Journal of Radiology and Imaging, 33, 162-172. [Google Scholar] [CrossRef] [PubMed]
[10] Johannessen, Ø., Claggett, B., Lewis, E.F., Groarke, J.D., Swamy, V., Lindner, M., et al. (2021) A-Lines and B-Lines in Patients with Acute Heart Failure. European Heart Journal: Acute Cardiovascular Care, 10, 909-917. [Google Scholar] [CrossRef] [PubMed]
[11] Iwakura, K. and Onishi, T. (2021) A Practical Guide to the Lung Ultrasound for the Assessment of Congestive Heart Failure. Journal of Echocardiography, 19, 195-204. [Google Scholar] [CrossRef] [PubMed]
[12] Miger, K.C., Fabricius-Bjerre, A., Maschmann, C.P., Wamberg, J., Winkler Wille, M.M., Abild-Nielsen, A.G., et al. (2019) Clinical Applicability of Lung Ultrasound Methods in the Emergency Department to Detect Pulmonary Congestion on Computed Tomography. Ultraschall in der MedizinEuropean Journal of Ultrasound, 42, e21-e30. [Google Scholar] [CrossRef] [PubMed]
[13] Barrosse-Antle, M.E., Patel, K.H., Kramer, J.A. and Baston, C.M. (2021) Point-of-Care Ultrasound for Bedside Diagnosis of Lower Extremity DVT. Chest, 160, 1853-1863. [Google Scholar] [CrossRef] [PubMed]
[14] 刘奇志, 吴卫华, 陈洁, 等. 超声下不同部位下肢静脉血栓与肺栓塞发生的相关性分析[J]. 中国临床医学, 2020, 27(4): 620-623.