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根据国内外尸检报告,对肺血栓栓塞症(PTE)的误、漏诊率高达70%~80%。近年来,我国医生对该病认识有较大提高,但是对于PTE80%栓子来源于下肢静脉系统,PTE是体静脉血栓症的组成部分认识尚不足。因此,在诊断时,对检查手段的合理选择,方法互补,检查结果综合分析尚缺乏经验。近年来,随着影像学特别是多普勒超声、CT和MRI技术的发展,PTE现代影像诊断新概念逐步形成。
According to the autopsy report at home and abroad, the rate of misdiagnosis of pulmonary thromboembolism (PTE) is as high as 70% -80%. In recent years, Chinese doctors have greatly improved their understanding of the disease. However, the understanding that PTE is an integral part of venous thrombosis is still not enough for 80% of embolus of PTE originating from the lower extremity venous system. Therefore, the diagnosis, the reasonable choice of means of inspection, complementary methods, comprehensive analysis of test results is still inexperienced. In recent years, with the development of radiology, especially Doppler ultrasound, CT and MRI, a new concept of modern diagnostic imaging of PTE is gradually formed.