目的　提高对肺栓塞的认识及诊治水平。方法　对 2 6例肺栓塞病人进行系统回顾、分析。结果　通过综合分析病史、临床表现、血气分析、ECG、心脏彩超及肺通气 /灌注扫描、螺旋 CT、肺动脉造影可确定肺栓塞诊断。本组入院误漏诊率 73.1 %。 7例溶栓治疗。院内死亡 9例 (死亡率 34.6% )。结论　作为急症 ,肺栓塞应引起医务人员的高度重视 ,及早诊断、治疗 ,减少死亡率 ,改善预后 Objective To improve the understanding of pulmonary embolism and diagnosis and treatment. Methods Twenty-six patients with pulmonary embolism were systematically reviewed and analyzed. Results The pulmonary embolism diagnosis was confirmed by a comprehensive analysis of medical history, clinical manifestations, blood gas analysis, ECG, echocardiography, pulmonary ventilation / perfusion scan, spiral CT, and pulmonary angiography. The hospital missed the missed diagnosis rate of 73.1%. 7 cases of thrombolytic therapy. In-hospital deaths in 9 cases (mortality rate 34.6%). Conclusion As an emergency, pulmonary embolism should be highly regarded by medical staff, early diagnosis and treatment, reduce mortality and improve prognosis