肺栓塞(PE)常为其它疾病的并发症,临床诊断不可靠,有时甚至误诊,所有诊断方法都有缺点。本文评价了PE诊断的近期进展及实验室检查,肺闪烁扫描和肺血管造影术的作用。1.临床表现:手术、创伤、长期卧床、恶性肿瘤、肢体瘫痪、有静脉血栓形成和PE史和充血性心哀者,都有发生PE的危险。 Pulmonary embolism (PE) is often a complication of other medical conditions, clinical diagnosis is not reliable, and sometimes even misdiagnosis, all diagnostic methods have shortcomings. This article assesses the recent advances in PE diagnosis and the role of laboratory tests, lung scintigraphy and pulmonary angiography. 1. Clinical manifestations: Surgery, trauma, bedridden, malignant tumors, limb paralysis, venous thrombosis and PE history and congestive heart failure, have the risk of PE.