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急性肺栓塞(APE)是急诊科常见的急性致命性疾病〔1〕,该病发病率高,但临床表现无特异性,疑诊线索锁碎,目前在我国各级医院中漏诊、误诊现象仍然严重〔2〕。据统计,国内急性肺栓塞误诊、漏诊率可高达80%〔3〕。特别是该病确诊需依赖CT肺动脉造影(CTPA)、肺动脉造影(DSA)等检查,在急诊科难于普及〔4〕。如何给予简单有效的系统评分,在急诊科对肺栓塞进行有效筛查,是急诊科医师时刻关注的问题。笔者采用Wells评分联合
Acute pulmonary embolism (APE) is a common emergency department acute fatal disease 〔1〕, the high incidence of the disease, but the clinical manifestations of nonspecific, clues suspected lock broken, at present in our hospital at all levels of misdiagnosis, misdiagnosis still Serious 〔2〕. According to statistics, misdiagnosis of domestic acute pulmonary embolism, missed diagnosis rate up to 80% [3]. In particular, the diagnosis of the disease depends on CT pulmonary angiography (CTPA), pulmonary angiography (DSA) and other tests, Difficult to popularize in the emergency department 〔4〕. How to give a simple and effective system score, effective screening of pulmonary embolism in the emergency department is a matter of concern to emergency physicians at all times. The author uses Wells score joint