Pulmonary embolism belongs to which department?

Written by Wang Li Bing
Intensive Care Medicine Department
Updated on September 20, 2024
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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.

Other Voices

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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
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Why do patients with pulmonary embolism feel sleepy?

Patients with pulmonary embolism primarily suffer from emboli within the venous system, which travel back to the right heart and then become lodged in the pulmonary artery, forming a pulmonary artery thrombus. This reduces pulmonary blood flow and impacts the exchange of air in the lungs, leading to hypoxia in the patient. Following hypoxia, the brain tends to enter a sleepy state, thus many patients with pulmonary embolism exhibit sleepiness. This sleepiness is related to the pathophysiological mechanisms of pulmonary embolism. At this point, it is crucial to provide sufficient oxygen to the patient to address their hypoxemia. Ultimately, the most fundamental treatments are prompt thrombolysis or anticoagulation therapy to resolve the embolus, addressing the condition fundamentally.

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Written by An Yong Peng
Pulmonology
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How is pulmonary embolism caused in young people?

Common causes of pulmonary embolism in young people include the following aspects: First, fractures, especially fractures of the lower limbs, are prone to deep vein thrombosis and pulmonary embolism; Second, thrombophilia, some young people due to congenital genetic factors, which can lead to easy formation of blood clots in arteries or veins, and potentially increase the incidence of pulmonary embolism; Third, prolonged immobilization, such as long periods of sitting, can lead to slow blood flow in the lower limbs, which might result in deep vein thrombosis and pulmonary embolism; Fourth, other factors like severe infections could also trigger pulmonary embolism; furthermore, the risk of pulmonary embolism is also higher in pregnant women during the perinatal period.

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Written by Wang Chun Mei
Pulmonology
1min 9sec home-news-image

Will acute pulmonary embolism get better in two days?

Acute pulmonary embolism is a type of disease with very many and complex inducing factors. Clinically, acute pulmonary embolism has a very sudden onset, and patients often present with unexplained symptoms such as pale complexion, chest tightness, chest pain, and difficulty breathing. During the acute phase of pulmonary embolism, immediate and effective anti-shock and other symptomatic resuscitation are essential upon arrival at the hospital. Generally, after timely and effective resuscitation, the patient's condition may be somewhat controlled. Usually, the first 1-3 days after the onset of pulmonary embolism are the most dangerous; therefore, continuous monitoring of the patient's vital signs is crucial during this time, followed by anti-shock and anticoagulation treatment as needed. Therefore, acute pulmonary embolism will not improve by the second day, although some of the patient's clinical symptoms may slightly improve after treatment.

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Written by Yuan Qing
Pulmonology
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Is it good to place a filter for pulmonary embolism or not?

Whether it is good or not to place a filter for pulmonary embolism mainly depends on the cause of the pulmonary embolism and whether there are indications for placing a filter. Generally speaking, if pulmonary embolism is caused by the formation of blood clots in the lower limbs or the inferior vena cava, placing a filter can generally be beneficial. However, not all cases of lower limb venous thrombosis require a filter. Filters are usually only used for deep or large vein thromboses that are not suitable for thrombectomy or thrombolysis treatments. If a filter is placed under other conditions, it is very likely that thrombosis will re-form on the surface of the filter, potentially leading to some recurrent pulmonary embolisms or iatrogenic pulmonary embolisms. Therefore, the decision to place a filter is complex and requires a doctor to weigh the pros and cons before deciding whether or not to proceed.