摘要
肺栓塞表現多端，可從無意中發現，臨床上不重要的血栓至可能致死的急性大片肺栓塞，而慢性肺栓塞的病人即使有大片病變病患也可能無任何症狀。其診斷上的要點在病人有危險因子及可疑症狀時即須高度懷疑，及早採取治療措施方可避免病人病況的惡化。 在此我們提出一位五年前有肺梗塞且至少兩年下肢靜脈血栓及近期喘、胸痛咳血的男性病例，在經過肺灌流攝影與胸部斷層掃描證實為此病，而其D-dimer值卻是正常。
關鍵字
肺栓塞並列摘要
The presentation of pulmonary thromboembolism can vary from a clinically subtle finding to an obvious massive embolism which can result in death. However, chronic pulmonary thromboembolism may be subjectively insensible even if the lesion is extensive. When the risk factors of venous thromboembolism coexist with suggestive symptoms, we should be suspicious. At that time, early treatment will be possible to prevent the progression of the disease. We present a male patient with a history of a previous pulmonary infarct five years ago. He had suffered from deep vein thrombosis for at least two years before having a recent onset of dyspnea, chest pain, and hemoptysis. We finally confirmed a pulmonary thromboembolism by using a lung perfusion scan and a thoracic computed tomographic scan, despite a normal D-dimer value.
延伸閱讀
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