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DOI: 10.1055/s-2004-820579
Radiologische Diagnostik der Lungenembolie
Radiologic Diagnosis of Pulmonary EmbolismPublikationsverlauf
Publikationsdatum:
04. März 2004 (online)
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Zusammenfassung
Die akute Lungenembolie ist eine häufige und potenziell lebensbedrohliche Komplikation der tiefen Venenthrombose. Die Diagnose der akuten Lungenembolie bleibt trotz moderner diagnostischer Verfahren insbesondere aufgrund der unspezifischen klinischen Symptomatik problematisch. Im folgenden Artikel werden die gängigen diagnostischen Methoden und deren Stellenwert bei der Diagnostik der akuten Lungenembolie diskutiert. Weiterhin werden praktische Richtlinien für das diagnostische Vorgehen gegeben - je nachdem wie wahrscheinlich eine Lungenembolie klinisch ist.
Abstract
Pulmonary embolism is a frequent and potentially life-threatening complication of venous thromboembolism. Despite numerous modern diagnostic methods, the diagnosis of pulmonary embolism remains problematic, especially in view of the nonspecific clinical presentation. In this educational review, current diagnostic methods and their role in the diagnostic workup of pulmonary embolism will be discussed. In addition, practical guidelines are given for the diagnostic cascade contingent on the clinical probability for pulmonary embolism.
Key words
Pulmonary embolism, - venous thromboembolism, - CT, - MRI, - Lung, - Diagnosis
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Korrespondenzadresse
Prof. Dr. Hans-Ulrich Kauczor
Abteilung Radiologie E010 Innovative Krebsdiagnostik und Therapie Deutsches Krebsforschungszentrum DKFZ
Im Neuenheimer Feld 280
69120 Heidelberg
Telefon: +49 6221 42-2563
Fax: +49 6221 42-2467
eMail: hu.kauczor@dkfz.de