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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)

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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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