What are the precursors of pulmonary embolism?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 21, 2024
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Pulmonary embolism is also relatively common in clinical practice. Its precursors may include varying degrees of respiratory difficulty, chest tightness, and shortness of breath, among others. If such symptoms occur, medical attention should be sought promptly, primarily to rule out the possibility of acute myocardial infarction. Pulmonary artery CTA can further confirm whether there is a pulmonary embolism. In cases of extensive pulmonary embolism, there is a high risk of sudden death, and aggressive thrombolytic and anticoagulation treatments should be administered. If the patient's chest tightness and shortness of breath are relieved after the aforementioned treatments, hospitalization for observation and treatment is still necessary.

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Written by Wang Chun Mei
Pulmonology
1min 2sec home-news-image

What should I do if I have pulmonary embolism and asthma?

Pulmonary embolism is a very common type of disease clinically, and its triggering factors are numerous and complex. For such patients, the main triggering factors are usually the detachment of thrombi from the pelvic deep veins and the lower limb deep veins, leading to pulmonary artery embolism. Therefore, the clinical symptoms that appear in these patients are mainly difficulty breathing, chest tightness, chest pain, and some patients may experience coughing, coughing up blood, shortness of breath, and even wheezing. Thus, for such patients, it is first necessary to clarify the cause of the disease, and then provide the patient with oxygen, thrombolysis, anticoagulation, and other symptomatic treatments. Usually, after effective symptomatic treatment, when the embolism location is effectively controlled, the symptoms of wheezing and air blockage that the patient experiences will also be significantly improved.

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Written by Yuan Qing
Pulmonology
1min 4sec home-news-image

What are the symptoms when pulmonary embolism becomes severe?

Pulmonary embolism can vary in severity, with serious cases primarily causing unstable vital signs. The disease primarily arises from venous thrombi in the venous system, which travel with the venous blood back to the right heart, and then with the blood flow from the right heart back to the aorta. If the thrombus is relatively large, it can easily become lodged in the pulmonary artery, forming a pulmonary embolism. The symptoms of pulmonary embolism can range from mild to severe. Based on the patient's symptoms and vital signs, pulmonary embolism is categorized into low risk, intermediate risk, and high risk. Low and intermediate risk typically indicate that the patient's vital signs are relatively stable, with normal blood pressure, heart rate, and pulse oximetry saturation. In severe cases, patients may exhibit noticeable symptoms such as coughing up blood, difficulty breathing, low blood pressure, shock, and oliguria. These represent the more severe cases of pulmonary embolism.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Pulmonary embolism belongs to which department?

Pulmonary embolism mainly refers to the detachment of thrombi in the blood, leading to the obstruction of the main trunk of the pulmonary artery and its branches, causing a series of syndromes. Pulmonary embolism is an emergency in clinical practice. If the patient's circulation becomes unstable after the embolism, thrombolytic therapy should be considered. If the patient's respiratory circulation remains stable after the embolism, anticoagulation therapy can be considered. In clinical practice, pulmonary embolism is primarily diagnosed through pulmonary artery CTA examination to further clarify the diagnosis, and patients generally consult the respiratory medicine department.

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Written by Liu Jing Jing
Pulmonology
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Is there a relationship between pulmonary embolism and lung cancer?

Pulmonary embolism and lung cancer can be related; common causes of pulmonary embolism include amniotic fluid embolism, air embolism, and deep vein thrombosis. In patients with lung cancer, when cancerous emboli enter the bloodstream, they can cause pulmonary embolism. Additionally, if the patient's condition is poor, with difficulties in eating, prolonged bed rest, and increased blood viscosity, deep vein thrombosis can occur, leading to pulmonary embolism. Therefore, there is no absolute relationship between pulmonary embolism and lung cancer, but lung cancer may trigger pulmonary embolism.

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Written by An Yong Peng
Pulmonology
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The difference between pulmonary embolism and chronic obstructive pulmonary disease.

The differences between pulmonary embolism and chronic obstructive pulmonary disease (COPD) mainly include the following aspects: 1. Different mechanisms of onset: Pulmonary embolism refers to the blockage of the pulmonary arteries by thrombi, while COPD is a disease of the small airways, primarily characterized by the narrowing of these airways. 2. Different clinical manifestations: Pulmonary embolism is often acute, with symptoms such as chest tightness, difficulty breathing, and may also include chest pain, coughing up blood, and fainting. COPD is a chronic disease, usually presenting with chronic chest tightness and difficulty breathing, and may also include symptoms such as coughing and expectoration. 3. Different diagnostics: Pulmonary embolism can often be diagnosed through CT pulmonary angiography, whereas COPD typically requires lung function tests for diagnosis.