关键词: Fleischner’s sign Westermark sign chest X-ray knuckle sign pulmonary embolism

来  源:   DOI:10.5334/jbsr.3052   PDF(Pubmed)

Abstract:
Patients presenting to the emergency room with respiratory symptoms often receive a chest X-ray as part of the initial workup to exclude common pathologies. A 60-year-old patient presented to the emergency department with dyspnoea. An initial chest X-ray revealed the Fleischner\'s sign, the knuckle sign, and the Westermark sign, specific but not sensitive for central pulmonary embolism, prompting a follow-up angio CT to confirm the diagnosis. The patient was treated and discharged a few days later.
UNASSIGNED: Chest X-rays, done as part of an initial workup, can show signs of pathologies that are not yet clinically suspected, such as pulmonary embolism.
摘要:
出现呼吸道症状的急诊室患者通常会接受胸部X光检查,作为初始检查的一部分,以排除常见的病理。一名60岁的患者因呼吸困难出现在急诊科。最初的胸部X光检查显示了Fleischner的体征,指关节标志,和Westermark标志,对中心性肺栓塞有特异性但不敏感,提示随访血管CT以确认诊断。患者接受了治疗,几天后出院。
未经证实:胸部X光片,作为初始工作的一部分,可以显示尚未临床怀疑的病理迹象,如肺栓塞。
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