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Imaging methods in the diagnosis of pulmonary embolism
KUBEŠOVÁ, Karolína
The bachelor´s thesis consists of theoretical and practical parts. In the theoretical part, the reader gets acquainted with the definition and method of genesis of pulmonary embolism. Furthermore, in the work there is given a division into clinical categories, symptoms of pulmonary embolism, its treatment and prevention. An important part of this work is the diagnosis of this disease, which includes laboratory methods as well as imaging ones. The work aims to determine the advantages and disadvantages of the mentioned imaging methods. This enables us to find out the guidelines and studies that compare individual imaging methods. Using a research question, we want to ascertain which of the imaging methods is used most in the hospital in České Budějovice. The Nuclear Medicine and the Radiology Departments provided me with data showing the total number of examinations in the years 2016 to 2020. For each individual year, a graphical representation was prepared comparing the number of examinations in these departments. Furthermore, their percentage was calculated. This processing and subsequent comparison of data enables us to determine which imaging method used to diagnose the pulmonary embolism is indicated more often by the doctors.
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Statistical investigation of CT pulmonary angiography in terms of development and depending on age and sex in District Kroměříž 2006-2010
OPLUŠTIL, Vladimír
CT pulmonary angiography is, together with ventilation-perfusion scintigraphy, the main diagnostic methods for recognition as pulmonary embolism. This is a very dangerous disease, which may end up even in death. Its share of deaths in hospitals, including subsequent ? complications, is around 4%. Therefore, emphasis is placed on early diagnosis. Clinical and laboratory symptoms are unspecific (including D Dimer).(10) Pulmonary embolism after ischaemic heart disease and arterial hypertension the frequency of its occurrence, the third most serious cardiovascular diseases. Cause of death in pulmonary embolism is usually the exhaustion of the right heart, seeking to overcome suddenly increased the resistance of the pulmonary circulation. This is the pulmonary artery or its branches is embolism blood clot-trombus, resulting in the venous system or in the heart, a saddle embolus, patched up a significant part of the lung. The most common place of trombs, which embolizated to the lungs, are deep veins of lower limbs if they are affected by the flebotrombolitis.(16) In addition to the acute embolism are frequent and chronic embolism. They are equally dangerous. By gradually and subtly clog small blood vessels, reduces the total cross-sectional area of open pulmonary artery, which have blood flow, and since the volume of blood must be maintained even in the smaller section of the vascular bed, should permanently increase the blood pressure in a small circulation, which is also dangerous.(16) In my work is the methods of mathematical statistics processed file 1966 CT pulmonary angiogramy (CTPA), carried out on the CT work in Kroměříž in the years 2006-2010. The work is focused on the statistical survey of the influence of age, sex, and the time evolution of the CTPA during that period.
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