[Analysis of the status of diagnosis of acute pulmonary embolism and a study of further strategy to improve the diagnostic level].
OBJECTIVE
To analyze the present status of diagnosis of pulmonary embolism (PE) by analyzing the clinical data of patients admitted during last 10 years to our hospital, in order to look for a significant diagnostic strategy to improve the diagnostic level.


METHODS
The data of patients diagnosed to have PE in last 10 years were analyzed. In the last 5 months, the patients suspected to have PE were diagnosed by a comprehensive approach including clinical manifestations, lung scan and/or spirals computer tomography (SCT) in our emergency department.


RESULTS
The diagnostic rate, the final diagnostic rate within 3 days and the diagnostic rate by lung scan or/and SCT were all higher in the last 3 months than ever. The proportions of angiograms and the overall 3-month PE risk were 2.8% and 0.


CONCLUSIONS
The comprehensive approach which includes clinical manifestations, lung scan and/or SCT can obviously improve the diagnostic level of PE.
Department of Emergency, The First Affiliated Hospital of Zhongshan University, Guangzhou 510080, Guangdong, China.
Xin
X
Li
Xiao-xing
XX
Liao
Kai-pan
KP
Guan
Xiao-li
XL
Jing
Zhong-fu
ZF
Ma
Hao
H
Tang
Hong
H
Zhan
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography; D012189:Retrospective Studies; D055815:Young Adult