Chẩn đoán thuyên tắc phổi tại khoa cấp cứu

Lavoisier - Tập 22 - Trang 593-599 - 2013
T. Nguyen1, V. Collot1, C. Mélot1
1Service des urgences, hôpital universitaire Érasme, Bruxelles, Belgique

Tóm tắt

Thuyên tắc phổi (TP) là bệnh lý tim mạch cấp tính phổ biến thứ ba, sau nhồi máu cơ tim và đột quỵ. Việc chẩn đoán TP vẫn còn khó khăn tại các khoa cấp cứu, bắt đầu bằng việc nghi ngờ lâm sàng dựa trên các yếu tố nguy cơ và triệu chứng thường không đặc hiệu. Bước tiếp theo là xác định xác suất trước thử nghiệm của TP thông qua các thang điểm đã được xác thực hoặc thông qua kinh nghiệm lâm sàng. Xác suất này sẽ được tinh chỉnh qua nhiều xét nghiệm chẩn đoán mà cần nắm rõ chỉ định và giới hạn của chúng. Quy trình có hệ thống này cho phép khẳng định hoặc loại trừ trường hợp TP một cách hiệu quả, tránh việc tiêu tốn quá mức các xét nghiệm bổ sung. Công trình của chúng tôi tập trung vào việc xem xét các phương pháp tiếp cận thực tiễn trong chẩn đoán TP tại khoa cấp cứu cho bệnh nhân ổn định về mặt huyết động học.

Từ khóa

#thuyên tắc phổi #chẩn đoán #cấp cứu #hô hấp #huyết động học

Tài liệu tham khảo

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