| 雷鹏,宁敏彤,刘文操.概率评分及新型预测模型对不同人群肺栓塞预测价值的研究进展[J].安徽医药,2026,30(1):50-54. |
| 概率评分及新型预测模型对不同人群肺栓塞预测价值的研究进展 |
| Research progress of the predictive value of probability scores and novel prediction models for pulmonary embolism in different populations |
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| DOI：10.3969/j.issn.1009-6469.2026.01.011 |
| 中文关键词: 肺栓塞 概率评分 Wells评分 修订的 Geneva评分 预测模型 D-二聚体 |
| 英文关键词: Pulmonary embolism Probabilty score The Wells score The revised Geneva score Predictive model D-dimer |
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| 中文摘要: |
| 肺栓塞是静脉血栓栓塞发展的严重后果，可导致严重呼吸衰竭。因为临床表现缺乏特异性，容易漏诊、误诊，是第三大心血管疾病死亡原因。因此尽早快速地对肺栓塞作出诊断预测，是降低肺栓塞死亡率、改善预后的关键。临床概率模型 Wells评分、修订的 Geneva评分等已然经过广泛验证，然而它们在不同人群的应用价值尚不完全清楚，因此仍然需要更多研究阐明 Wells评分及修订的 Geneva评分的作用，同时探索新的更加适合人群的肺栓塞预测模型。该研究将对临床概率模型及新型肺栓塞预测模型在不同人群中肺栓塞的预测价值作一综述。 |
| 英文摘要: |
| Pulmonary embolism is a severe consequence of the development of venous thromboembolism that can lead to severe respi-ratory failure. Due to the lack of specificity in clinical manifestations, it is prone to misdiagnosis and missed diagno-sis, making it the third leading cause of death from cardiovascular disease. Therefore, early and rapid diagnostic predictionof pulmonary embolism is crucial for reducing mortality rate and improving prognosis of pulmonary embolism. Clinical probability mod-els such as the Wells score and the revised Geneva score have been extensively validated. However, their application value in differentpopulations is not fully understood, requiring more research to elucidate the roles of the Wells score and the revised Geneva score. Ad-ditionally, exploring new pulmonary embolism prediction models that are more suitable for specific populations is warranted. In this ar-ticle, we review the predictive value of clinical probability models and novel pulmonary embolism predictive models. |
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