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目的:探讨经胸彩色多普勒超声心动图结合下肢深静脉超声检查在肺栓塞中的诊断价值。方法:回顾分析30例肺栓塞患者的彩色多普勒超声心动图及下肢深静脉彩超表现,结合其他相关检查手段比较分析。结果:本组均经临床和螺旋CT证实,超声发现直接征象2例(右肺动脉近端血栓1例,右心室内血栓1例),其余皆表现为肺心病表现与肺动脉高压的间接征象表现,28例肺栓塞患者中有20例发现有下肢深静脉血栓,约占72%。结论:彩色多普勒超声心动图是肺栓塞影像学诊断的重要检查手段之一,对临床有很大帮助。
Objective: To investigate the value of transthoracic color Doppler echocardiography combined with deep venous ultrasonography in the diagnosis of pulmonary embolism. Methods: Retrospective analysis of 30 cases of pulmonary embolism color Doppler echocardiography and deep venous ultrasonography, combined with other relevant examination means comparative analysis. Results: The group was confirmed by clinical and spiral CT, 2 cases of direct signs of ultrasound findings (right pulmonary artery thrombosis in 1 case, right ventricular thrombus in 1 case), the rest are manifested as pulmonary heart disease performance and pulmonary hypertension showed indirect signs, Twenty cases of pulmonary embolism were found in 28 cases of deep venous thrombosis, accounting for about 72%. Conclusion: Color Doppler echocardiography is one of the important examination methods of pulmonary embolism imaging diagnosis, which is of great help to clinical practice.