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Updated: Sep 20, 2025

A Porcine Model of Acute Autologous Pulmonary Embolism
Published on: September 6, 2024
在怀孕期间诊断肺栓塞
Meriem Hammache1, Camille Simard2, Sandrine Hamel3
1Faculty of Medicine, Laval University, Quebec City, QC; Centre for Outcomes Research and Evaluation, Research Institute, Montreal, QC.
在怀孕期间诊断肺栓塞 (PE) 由于识别延迟至关重要. 风险评估工具和像CTPA和V/Q扫描等成像是安全有效的诊断孕妇患者的PE.
科学领域:
- 产科和妇科 产科和妇科
- 心脏病学 心脏病学
- 放射学 放射学是一门学科.
背景情况:
- 肺栓塞 (PE) 是高收入国家产妇死亡的一个重要原因.
- 在怀孕期间PE的延迟诊断通常是由于与生理变化重叠的症状.
- 早期诊断和治疗PE对于改善母亲的结果至关重要.
研究的目的:
- 为怀孕期间肺栓塞的诊断策略提供当代概述.
- 审查怀孕患者怀疑PE的风险评估工具,诊断方法和咨询需求.
- 总结目前关于怀孕期间诊断PE的最佳实践指南.
主要方法:
- 这篇叙述性综述综合了关于孕期PE诊断的当前文献.
- 它检查了风险分层工具,包括修订的日内瓦分数和YEARS算法.
- 它评估了诊断成像模式的安全性和有效性,例如CT肺血管造影和V/Q扫描.
主要成果:
- 风险分层工具,如修订的日内瓦分数和YEARS算法,对于在怀孕期间诊断PE是有效的.
- CT肺血管造影和通风 perfusion 扫描显示了可比的安全性和有效性.
- 在CTPA中使用的类对比剂对新生儿没有风险,咨询对于管理患者焦虑至关重要.
结论:
- 怀孕期间对PE的诊断测试应考虑设备的可用性,及时性,临床紧迫性和胸部X射线检查结果.
- 最近的指导方针越来越多地支持临床预测规则.
- CTPA和V/Q扫描都是安全的,测试选择受到初始X光学和其他条件的怀疑的影响.
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