Can acute pulmonary embolism be cured by anticoagulation?

Written by Yuan Qing
Pulmonology
Updated on March 10, 2025
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Anticoagulation has a partial curative effect on acute pulmonary embolism. Based on the area of the embolism and the patient's vital signs, it is classified into mild, moderate, and severe pulmonary embolism.

If it is a mild to moderate pulmonary embolism, anticoagulation can completely cure it, because anticoagulation can help the body's fibrinolytic system remove the blood clots that have already formed, and it can also prevent new clots from forming.

However, in cases of severe pulmonary embolism, especially when the patient presents unstable vital signs and is in life-threatening condition, it is not advisable to rely solely on anticoagulant therapy. This is because the effect of anticoagulant treatment is relatively slow, and it requires a certain amount of time for the body's immune and fibrinolytic systems to clear the embolism. Therefore, at such times, thrombolytic treatment is recommended. Of course, this requires an experienced physician to assess the patient's vital signs and overall condition.

Other Voices

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Is pulmonary embolism related to pneumonia?

If unexplained shortness of breath, pleuritic chest pain, tachycardia, and decreased oxygen saturation occur, one should be highly vigilant about pulmonary embolism. Generally, pulmonary embolism has no direct relationship with pneumonia. High-risk factors for pulmonary embolism include obesity, prolonged immobilization, stroke, congestive heart failure, malignant tumor, inflammatory bowel disease, lower limb fracture, anesthesia time exceeding 30 minutes, and acquired or genetic hypercoagulable state. It usually manifests as difficulty breathing, rapid breathing, and pleuritic chest pain.

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Is there a lot of phlegm in pulmonary embolism?

Pulmonary embolism is a relatively common acute disease in clinical practice. It usually occurs when blood clots from the veins in the legs or pelvis detach, travel through the bloodstream to the pulmonary arteries, and cause an embolism. The onset of this disease is often very sudden. Due to different triggers, the clinical symptoms vary. Typical symptoms of pulmonary embolism include difficulty breathing, chest pain, coughing up blood, and coughing. Coughs are often dry, and patients may also have a small amount of white sputum. Some patients might even experience wheezing and other clinical symptoms. Therefore, the occurrence of excessive sputum is rare in patients with pulmonary embolism.

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Written by Liu Jing Jing
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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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What are the early symptoms of pulmonary embolism?

The early symptoms of pulmonary embolism are clinically diverse and often non-specific. Mild cases may not present any symptoms at all. Common symptoms include the following: 1. Unexplained difficulty in breathing; 2. Pain in the precordial region; 3. Some patients initially present with fainting as the first clinical symptom; 4. Some patients may also experience irritability, fear, or a near-death feeling; 5. Early symptoms can also include coughing, coughing up blood, and palpitations. Pulmonary embolism is a critical condition in clinical settings. Once it occurs, it is essential to go to the hospital promptly for an accurate diagnosis and to receive effective treatment to avoid severe clinical consequences.

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Pulmonary embolism should be treated in the department of respiratory medicine or cardiology.

Pulmonary embolism is a pathological process in which a blood clot in the vessels detaches, affecting the pulmonary artery and its branches. After the occurrence of a pulmonary embolism, patients generally visit the respiratory medicine department. Clinically, a pulmonary artery CTA can be performed to further confirm the diagnosis. The treatment methods in clinical practice are mainly as follows: If the patient experiences circulatory disturbances, emergency thrombolytic therapy may be considered; if the patient's circulation is stable, treatment with low molecular weight heparin and warfarin anticoagulation can be considered. Of course, it is important to monitor the patient's respiration and blood pressure.