Abstract:
:The presence of D-dimers in the serum reflects fibrin formation and lysis. If the serum D-dimer level is lower than a threshold level which depends on the assay technique (usually 500 micrograms/l), pulmonary embolism can be excluded with a predictive value of 95%. This makes D-dimer assay an ideal screening tool for ambulatory patients with suspected pulmonary embolism. Screening costs can be reduced in about one-third of the cases as other tests are not required. For routine practice, only ELISA tests have been validated for this indication, the sensitivity of latex tests being too low. D-dimer assay would be of little benefit for patients hospitalized for more than 24 for reasons other than suspected pulmonary embolism as specificity is very low in this population.
journal_name
Rev Pneumol Clinjournal_title
Revue de pneumologie cliniqueauthors
Bounameaux Hsubject
Has Abstractpub_date
1998-07-01 00:00:00pages
144-8issue
3eissn
0761-8417issn
1776-2561pii
MDOI-RP-07-1998-54-3-0761-8417-101019-ART93journal_volume
54pub_type
杂志文章,评审abstract::The plathypnea orthodeoxia syndrome is a rare condition that is characterized by dyspnea and hypoxia that occurs in the upright position and improves with recumbency. The diagnostic is often made tardively and requires the combination of two components: a mechanical one (for example a patent foramen ovale) and a kinet...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2016.12.007
更新日期:2017-04-01 00:00:00
abstract::Magnetic resonance imaging (MRI) already has a number of indications in exploration of the mediastinum, the most frequent of which being exploration of vascular pathologies facilitated by visualization of vascular lumina without need for a contrast medium, MRI can provide detailed information concerning the size, rela...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1993-01-01 00:00:00
abstract::Gaucher's disease is a not exceptional lysosomial disease in Tunisia. Type 1 is by far the most common one. Pulmonary involvement is considered to be rare in type 1 Gaucher's disease. Pulmonary hypertension, infiltration of the lungs with Gaucher cells, and severe hypoxemia due to intrapulmonary arterial-venous shunts...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2011.07.002
更新日期:2012-02-01 00:00:00
abstract::Radiological explorations of the thorax raise a certain number of risks for the mother and infant which should be well recognized by the pneumologist. Irradiation is the major risk and can be evaluated in comparison with other risks of radiation. We recall the dosimetric system based on the effective dose expressed in...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1999-10-01 00:00:00
abstract::Approximately 30% of small-cell bronchogenic cancers are associated with hypersecretion of ACTH. However, in most cases, there is no clinical expression. When a paraneoplastic Cushing syndrome occurs, it is an independent factor of poor prognosis. Management is extremely complex. Treatment must be based on high dose i...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1999-04-01 00:00:00
abstract::Intrathoracic coelomic cysts are benign embryonic tumors with a mesothelial lining. The aim of this work was to review possible localizations (pleuropericardic and other), the remaining surgical indications, and the current situation of minimally invasive techniques. We reviewed retrospectively, 28 cases of intrathora...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract::When small and inextensive these tumours are rare and often surgical; when extensive they are usually unresectable. Owing to the late development of dyspnoea and to the frequent normality of thoracic radiography the endoscopic diagnosis is seldom made at an early stage, which explains why these tumours are often regar...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::The author reports his experience of electrocoagulation used to remove tumoral obstruction of the trachea and primary bronchi. Endoscopic electrocoagulation using a fibrobronchoscope is a useful method. Its results and its cost are of interest, as confirmed by experience in 17 patients. ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract::We present 4 cases of endobronchial lipomas observed in our department over the last fifteen years. Histological diagnosis was obtained in all cases after endobronchoscopy and biopsy. Endobronchial exeresis was possible in one patient, lobectomy was required in a second. For the other two patients, surgery was not per...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1996-01-01 00:00:00
abstract::Melioidosis is most frequently encountered in pulmonary localization. Melioidosis is an infectious disease caused by Burkholderia pseudomallei first described by Whitmore in 1912 in Burma. B. pseudomallei is a Gram negative rod belonging to the Pseudomonadaceae family. Soil and water are the natural reservoirs for the...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1998-12-01 00:00:00
abstract:INTRODUCTION:In spite of recommendations of the highest level of proof (rank A), the respiratory rehabilitation remains very widely sub-prescribed by general practitioners, who are nevertheless in the front line in the care and the follow-up of the patients affected by BPCO. MATERIAL AND METHODS:Semi-qualitative study...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2017.03.002
更新日期:2017-06-01 00:00:00
abstract::The aim of this work was to ascertain the main aetiologies of haemoptysis observed in the pneumo-phtisiology unit at the University Hospital of Treichville at Abidjan, Ivory Coast. A retrospective survey covering 5 years revealed 142 cases. The annual incidence of haemoptysis was 2.5% of the unit's admissions. The mea...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:INTRODUCTION:Primary bronchial cancer (PBC) is a major public health problem. The diagnosis is often late resulting in a poor prognosis. PURPOSE:To determine the factors leading to a late diagnosis. PATIENTS AND METHODS:All PBCs diagnosed between 01 January and 31 December were included. The factors studied were: "ag...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2010.02.004
更新日期:2010-12-01 00:00:00
abstract::Adenomatoid cystic malformations of the lung are usually diagnosed during the perinatal period. Its occurrence in adults is rare, this being the fifth case reported in literature. Improved follow-up techniques and in utero treatment have considerably improved prognosis. Differential diagnosis of pulmonary cysts should...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
abstract:UNLABELLED:Anti-tumor necrosis factor (TNF) therapy has been the major advance in the treatment of inflammatory bowel disease, especially Crohn's disease. But there is a higher risk of infections, especially tuberculosis (TB), in patients treated with anti-TNFα. The authors report a case of disseminated tuberculosis wi...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2014.07.002
更新日期:2014-12-01 00:00:00
abstract::We report the case of a 57-year-old patient with primary malignant melanoma of the mediastinum who survived nine months despite immunotherapy, radiotherapy and chemotherapy. The primary nature of the intrathoracic melanoma was difficult to prove. Definitive diagnosis was based on the uniform morphology of the melanoma...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1997-01-01 00:00:00
abstract::Inoperable non- microcellular primary bronchial carcinomas have been reputed up to now to be chemo-resistant. The introduction of Cis-platinum into a polychemotherapy protocol leads to revision of this concept. The authors report the preliminary results of a polychemotherapy protocol (including Cis-platinum, Vindesine...
journal_title:Revue de pneumologie clinique
pub_type: 临床试验,杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::The presence of non-caseating epitheloid cell granulomas in biopsy material is still one of the most important factors in establishing the diagnosis of sarcoidosis. Since Carlens introduced mediastinoscopy as a diagnostic procedure in these cases the use of liver biopsy or bronchoscopic biopsy has decreased because of...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::Small cell lung cancers were a clinical entity of severe prognosis until the nineteen eighties, time at which their frequent chemosensitivity was demonstrated. Around 90% of objective responses, in the case of complete response, lead to remission. Although still rare, remission depends on the ability of the treatment ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:2004-11-01 00:00:00
abstract::Pulmonary alveolar proteinosis is a rare disease characterized by the accumulation of granular lipoproteinaceous material within the alveoli; the interstitium is preserved. We report the case of a 27-year-old patient hospitalized for exploration of asymptomatic bilateral interstitial syndrome. Neither the radiographic...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(05)84849-7
更新日期:2005-10-01 00:00:00
abstract::The large majority of patients with acute respiratory failure present diffuse pulmonary opacities resulting from pulmonary embolism, intra-alveolar hemorrhage, or a classical cause of ARDS. In a small number of patients however, these opacities correspond to diffuse interstitial pneumonia. This should be suspected in ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:10.1016/s0761-8417(05)84792-3
更新日期:2005-04-01 00:00:00
abstract::The clinician engages his penal, private and administrative responsibilities whenever he performs a medical act. Common law applies for private practice, as is the case of most pneumologists. Actually, there is little common law jurisprudence directly concerning pneumological situations. We present here the current tr...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1998-05-01 00:00:00
abstract::Forty-five bronchoalveolar lavages (BAL) were performed in Brazzaville in AIDS patients who did not expectorate acid- and alcohol-resistant bacilli (AARB). All patients presented with respiratory symptoms (cough, dyspnoea or chest pain), and all but 6 of them had abnormal radiography of the chest. Four cases of pneumo...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1991-01-01 00:00:00
abstract::Lung transplantation is now considered a valid option in the management of end-stage respiratory failure. The postoperative period remains a key stage that will influence the average long-term prognosis of the patients. Primary graft failure, postoperative bleeding, infection, acute rejection and complications linked ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/j.pneumo.2010.12.005
更新日期:2010-02-01 00:00:00
abstract::Ten subjects with chronic bronchitis with relatively severe bronchial obstruction and, in most cases, severe distension underwent strengthening of their respiratory muscles at home by an additional respiratory resistance load for 10 minutes 3 times a day for one month. All of these subjects obtained an increased endur...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1984-01-01 00:00:00
abstract::We report a case of Klebsiella pneumoniae medisatinitis secondary to a retrophyarygeal abscess in a 40-year-old patient. The patient was treated with antibiotics and pleural drainage. Surgery was not necessary and the clinical course was favorable. We recall the pathophysiological and clinical aspects of this now unco...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract::Inflammatory pseudo-tumors of the lung are generally unifocal lesions with a benign prognosis. The pathogenesis is unknown. We report the case of a 71-year-old man who underwent exploration for dyspnea and chest pain associated with weight loss and a heterogeneous opacity in the lingula. This radiological and clinical...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:10.1016/s0761-8417(04)72085-4
更新日期:2004-02-01 00:00:00
abstract::The observation of 3 cases has prompted the authors to review the characteristics of vascular abnormalities that may be found in Behçet's disease. These lesions, the frequency of which has diversely been estimated, involve the veins more often than the arteries. Arterial lesions occur, after a varying length of time, ...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:
更新日期:1990-01-01 00:00:00
abstract::Pulmonary hypertension is a serous condition which, after a long history as an orphan disease, has raised renewed interest due to the development of efficacious therapeutic options including lung transplantation and continuous infusion of prostacycline. Bilateral endarteriectomy of the pulmonary arteries is another po...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章,评审
doi:10.1016/s0761-8417(04)73480-x
更新日期:2004-04-01 00:00:00
abstract::Since the advent of antituberculosis drugs, endobronchial tuberculosis has become an exceptional finding, often in a misleading context. Cases reported generally occur in patients with immune deficit. We report 21 cases of endobronchial tuberculosis in immunocompetent patients (mean age 37 years). Clinical and radiolo...
journal_title:Revue de pneumologie clinique
pub_type: 杂志文章
doi:
更新日期:2001-11-01 00:00:00