On this day, Ms. Zhang, 47, of Pingyao, was at work. She squatted down to pick up something because something fell on the table. Originally an ordinary action, but when Ms. Zhang got up, she suddenly felt black and unconscious!

After a minute or two, Ms. Zhang woke up by herself. She felt heart palpitations and discomfort, and she felt chest tightness when she moved. Subsequently, Ms. Zhang was transferred from 120 to the emergency department of Pingyao District (Yuhang No. 3 Hospital) of Hangzhou No. 1 Hospital Group.

However, Ms. Zhang did not find any diagnostic results after relevant examinations. Emergency doctor Xu Min told Ms. Zhang and her family that there were many reasons for syncope, and the diagnosis was extremely complicated. She suggested further observation and examination.

Facts have proved that Xu Min’s worries are not superfluous. At 8 o’clock in the evening, Ms. Zhang re-examined and found that troponin increased, and the electrocardiogram showed relatively specific manifestations of pulmonary embolism. The doctor immediately performed pulmonary CT angiography on Ms. Zhang, and found that Ms. Zhang had multiple pulmonary embolisms in the main pulmonary artery, left and right main pulmonary arteries and branches.

Pulmonary embolism is ferocious, progresses rapidly, and can cause death silently, so it is named “Silent Killer” “.

Fortunately, Ms. Zhang has been observing in the hospital. After consultation with multidisciplinary experts from emergency/intensive medicine, cardiovascular medicine, radiology, and ultrasonography, she immediately performed emergency pulmonary embolism thrombolysis for Ms. Zhang After treatment, he was admitted to hospital for anticoagulation. Ms. Zhang has now recovered and been discharged from the hospital.

What is pulmonary embolism?

Chen Yonghua, deputy director of the Department of Emergency/Intensive Medicine of Yuhang Third Hospital, pointed out that venous thrombosis is one of the three major causes of death in the cardiovascular system. Among them, pulmonary embolism is the most critical disease in venous thrombosis, which is a pulmonary circulation disorder that occurs after the branches of the pulmonary artery are blocked by emboli. Its three common symptoms are chest pain, shortness of breath, and hemoptysis, which are easily masked by other disease symptoms, especially when patients have heart failure and pneumonia diseases with similar symptoms, pulmonary embolism is difficult to detect. Ms. Zhang’s symptoms are not typical, which makes the diagnosis more difficult.

How can pulmonary embolism be prevented?

There are many factors that lead to pulmonary embolism. Long-term bed rest, sedentary, pregnancy, childbirth, fractures, and cancer are all factors that induce pulmonary embolism. To prevent pulmonary embolism, the most important thing is to move!

1. For the elderly, obese, tumor patients and other people with high risk factors for thrombosis, the blood flow rate of the limbs should be increased, the blood stasis in the lower limbs should be reduced, and regular activities should be performed on weekdays, and do not maintain a fixed sitting and lying position. The posture is too long;

2. Long-distance travelers or long-term sitting office workers should move their lower extremities regularly to increase blood circulation in the lower extremities and reduce thrombosis;

3. Long-term bedridden people , Compression stockings or elastic bandages can be used, and preventive anticoagulation therapy can also be performed under the guidance of a doctor to reduce the risk of venous thrombosis in the lower extremities, thereby reducing the possibility of pulmonary embolism.

4. Patients diagnosed with lower extremity venous thrombosis should be treated accordingly. After the thrombus has been removed, intermittent compression-pneumatic therapy or compression stockings can be used in the affected limb to prevent recurrence of the thrombus.

Source: City Express