Avtor/Urednik		Osrajnik, Ilonka; Edelbaher, Natalija
Naslov		Klinična slika in diagnoza pljučne embolije
Prevedeni naslov		Clinical presentation and diagnosis of pulmonary embolism
Tip		članek
Vir		In: Hojs R, editor. Zbornik prispevkov 20. srečanje internistov in zdravnikov družinske medicine "Iz prakse za prakso" ; 2009 maj 8-9; Maribor. Maribor: Univerzitetni klinični center,
Leto izdaje		2009
Obseg		str. 227-34
Jezik		slo
Abstrakt		Acute pulmonary embolism is a common and often fatal condition. It is not disease per se, but merely a complication of deep venous thrombosis, usually arising from lower extremities. Clinical presentation is nonspecific. It should be sought in every patient who presents with any chest symptoms that cannot be proven to have another cause. Clasic triad of symptoms and signs of pulmonary embolism comprise hemoptysis, dyspnea and chest pain. Because of nonspecific and often deceptive clinical presentation establishing the diagnosis is also extremely difficult. Making the diagnosis of pulmonary embolism has two components: determining the pretest clinical probability and performing diagnostic test to substantiate the diagnosis. Pulmonary angiography is still regarded as golden standard, but because it is an invasive procedure today it is virtually replaced by computerized tomographic pulmonary angiography.
Izvleček		Akutna pljučna embolija je pogosto stanje z veliko smrtnostjo. Ne gre za bolezen samo po sebi, temveč zgolj za zaplet globoke venske tromboze, običajno v spodnjih udih. Klinična slika ja zelo nespecifična. Nanjo moramo pomisliti pri vsakem bolniku s težavami v prsnem košu, za katere ne najdemo drugega vzroka. Klasična triada simptomov in znakov pljučne embolije obsega hemoptize, dispnejo in bolečino v prsnem košu. Zaradi nespecifične in pogosto zavajajoče klinične slike je tudi postavitev diagnoze izjemno težka. Diagnozo postavimo na osnovi določanja predtestne klinične verjetnosti in diagnostičnega testa, s katerim potrdimo diagnozo. Zlati standard še vedno predstavlja pljučna angiografija, vendar jo je danes zaradi invazivnosti praktično že izpodrinila kompjuterska tomografska pljučna angiografija.
Deskriptorji		PULMONARY EMBOLISM PULMONARY EMBOLISM PULMONARY EMBOLISM DYSPNEA HEMOPTYSIS CHEST PAIN TOMOGRAPHY, X-RAY COMPUTED