Portable Ventilation/Perfusion Scanning is Useful for Evaluating Clinically Significant Pulmonary Embolism in the ICU Despite Abnormal Chest Radiography.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE(2020)
摘要
Despite the large percentage of moderate-to-severe x-ray abnormalities, PE can still be diagnosed (high-probability scan) in the ICU with a portable V/Q scan. Although low-probability scans do not rule out acute PE, it appeared less likely that any patient with a low-probability V/Q scan had severe hypoxemia or hemodynamic instability due to a significant PE, which was useful to clinicians and allowed them to either stop or not start anticoagulation.
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关键词
critical care,diagnostic imaging,hypoxia,massive pulmonary embolism,portable V/Q scan,pulmonary embolism,radiographic findings,respiratory failure,right ventricular failure,shock
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