目的探讨肺动脉血栓栓塞症(pulmonary thrombo embolism,PTE)的早期诊断与治疗方法 ,降低漏诊率及误诊率。方法分析2007-01-2009-12在河北省沧州市中西医结合医院心内科住院患者中的26例确诊PTE患者的危险因素、临床表现、辅助检查及治疗情况。结果 PTE缺乏特异性临床表现,但临床症状和体征能提供重要线索;辅助检查能够为PTE早期确诊提供有力的证据;早期溶栓及抗凝治疗可有效降低病死率,改善预后。结论提高PTE的早期诊断率、降低漏诊率及误诊率,尽早溶栓及抗凝治疗是治疗成功、改善预后的关键。 Objective To investigate the early diagnosis and treatment of pulmonary thrombo embolism (PTE) and to reduce the rate of misdiagnosis and missed diagnosis. Methods From January 2007 to December 2009, the risk factors, clinical manifestations, auxiliary examinations and treatment of 26 confirmed PTE patients in the inpatient department of cardiology of CMBU in Cangzhou city of Hebei province were analyzed. Results PTE lacks specific clinical manifestations, but clinical symptoms and signs can provide important clues. Assisted examination can provide strong evidence for the early diagnosis of PTE. Early thrombolysis and anticoagulation therapy can effectively reduce mortality and improve prognosis. Conclusions To improve the early diagnosis rate of PTE, reduce the rate of misdiagnosis and misdiagnosis, as soon as possible thrombolysis and anticoagulation therapy is the key to successful treatment and prognosis improvement.