Pulmonary embolism (PE) is the third major emergency in the cardiovascular system after myocardial infarction and cerebrovascular accident,
PE is the third most serious emergency in the cardiovascular system after myocardial infarction and cerebrovascular accident, and it causes thousands of patient deaths every year due to insufficient clinical awareness. Especially in the last decade, the rapid development of transportation and automobile industry has resulted in frequent accidents, especially causing a surge in the number of traumatic bone injuries and a simultaneous increase in the number of patients with pulmonary embolism caused by them. However, in clinical work, due to many factors such as inexperienced clinicians or backward examination technology, some patients with atypical pulmonary embolism are not diagnosed and treated in time, thus losing the best time for treatment, which brings great physical and mental pain to patients, and at the same time losing a lot of financial, human, material resources, health and even life. Whenever I see these, I feel very painful and saddened! So, as medical workers, what can we do to avoid the loss of these atypical pulmonary embolism patients? Summing up the diagnosis and treatment process of more than 60 cases of atypical pulmonary embolism patients diagnosed by my hands, I think the following points should be worthy of reference: 1, the majority of medical workers should continuously learn and summarize the lessons learned, to fully recognize the manifestations of typical pulmonary embolism, but also to enhance the understanding of atypical pulmonary embolism. 2, patients with atypical clinical symptoms and signs, in the case of unsatisfactory taking active symptomatic treatment D-dimer detection and imaging should be done promptly.3. Imaging workers should recognize the direct signs of pulmonary embolism and also fully recognize the indirect signs of pulmonary embolism, because the indirect signs can often be used as differential diagnosis and suggest the initial diagnosis of pulmonary embolism. For example: prominence of pulmonary artery segment, enlargement of right ventricle, expansion of jugular/ventricular veins, formation of collateral circulation, change of lung volume, change of lung density change of lung texture and infarct signs of lung, etc. 4. The majority of medical workers should have strong work enthusiasm, carefulness, patience and high responsibility! Hopefully, in the near future, due to the continuous improvement of diagnosis and treatment technology and the increasing knowledge and experience of medical workers, the diagnosis and treatment of atypical pulmonary embolism will be further improved, thus greatly reducing misdiagnosis, missed diagnosis and delayed diagnosis, and truly bringing gospel to the patients with pulmonary embolism!