Geneva量表在肺栓塞诊断中的意义

随着认识水平的提高,已发现肺栓塞是临床很常见的疾病。对于如何更好地进行肺栓塞危险性的评估和组织相对复杂的检查,Geneva量表将是临床非常实用的工具。Geneva量表更精确和稳定,较少受临床经验的影响。对于合并慢性阻塞性肺病的患者诊断也有意义。同时,对于预测肺栓塞后3月内不良事件也有价值,临床试验证实对CT检查阴性患者Geneva量表评分为低中度危险不进行抗凝治疗也是安全的。本文将对目前国际上对Geneva量表的应用进展做一综述。

Geneva Score and the Diagnosis of Pulmonary Embolism

With the increasing understanding of pulmonary embolism,it was found that the pulmonary embolism is a common disease in clinic.Geneva pre-test probability score is the promising tool to evaluate the risk of pulmonary embolism and apply complicated and invasive examination.Compared with other scores,Geneva score is more accurate and stable,less influenced by doctor's experience.It is precise when applied to patients with chronic obstructive pulmonary disease.And its classification of risk can prognosticate ill affair grade of 3 months after pulmonary embolism.It was confirmed by clinical trial that anticoagulant treatment is not required for patients with negative GT scan results when a low or moderate probability of pulmonary embolism indicated by Geneva score.This article will review the progress of Geneva score in recent years.