分析47例肺栓塞(PE)临床表现、诊断和治疗,认为PE症状和体征无特异性,对疑诊的患者应常规查心电图、血气分析、D-二聚体及超声心动图作为筛查。结果高度提示者进一步检查肺通气-灌注扫描或螺旋CT强化(CTPA)。结论有条件、有指征时,行介入治疗(肺动脉取栓、溶栓),疗效确切;低分子肝素及华法林抗凝治疗同样可以取得很好疗效。 47 cases of pulmonary embolism (PE) clinical manifestations, diagnosis and treatment, that the symptoms and signs of PE non-specific, the suspect patients should be routinely check electrocardiogram, blood gas analysis, D-dimer and echocardiography as a screening. The results were highly suggestive of further examination of lung ventilation-perfusion scan or spiral CT-enhanced (CTPA). CONCLUSIONS: When there are indications, interventional therapy (pulmonary embolectomy and thrombolysis) is effective and definite. Low molecular weight heparin and warfarin anticoagulant therapy can also achieve good curative effect.