Pulmonary arteriography: the gold standard.
Pulmonary arteriography: the gold standard.
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肺动脉造影：金标准。
DOI：
10.1001/archinte.1987.00370020022012
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发表时间：
1987
影响因子：
--
通讯作者：
R. Sautter
中科院分区：
文献类型：
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作者：
R. Sautter
致《编辑》。-我怀着极大的兴趣阅读了Hoellerich和Wigton的题为《利用临床结果诊断肺栓塞》的文章，1但他们关于“决策规则”的建议让我不敢相信。世界上为什么会有人想要阻止对疑似肺栓塞(PE)的患者使用肺动脉造影术，这是一种没有及时治疗的潜在致命疾病？为什么任何临床医生不希望通过一个简单的程序就能得到明确的、阳性的或阴性的诊断？在设备合理的医院进行肺动脉造影术通常比肺扫描所需的时间要短。其中一个系列的肺动脉造影的死亡率为1350例中的3例死亡(0.2%)。2未经治疗的PE的死亡率据报道高达30%。3肺动脉造影的阴性结果具有重要价值，因为可以避免抗凝治疗，这是非常重要的
To the Editor. —I read with great interest the article entitled "Diagnosing Pulmonary Embolism Using Clinical Findings" by Hoellerich and Wigton,1but their suggestion regarding the "decision rule" left me incredulous. Why in the world would anyone want to discourage the use of pulmonary arteriography for patients with suspected pulmonary embolism (PE), a potentially lethal disease without prompt treatment? Why would any clinician not wish to have a clear, positive or negative diagnosis established with one simple procedure? Pulmonary arteriography in a reasonably equipped hospital can usually be done in less time than pulmonary scans. The mortality rate from pulmonary arteriography in one series was three deaths (0.2%) in 1350 procedures.2The mortality rate of untreated PE is reported to be as high as 30%.3A negative result shown on a pulmonary arteriogram is of great value because anticoagulant therapy can be avoided, which is quite important as