肺栓塞(pulmonary embolism,PE)最常见的临床症状是突发呼吸困难、胸痛、咯血三联症[1],但常不典型。现报道1例貌似癫痫频繁发作的急性大面积肺栓塞病例的诊疗经过。1病历摘要女,67岁。因发作性意识丧失、四肢抽搐2 d于2006-02-18入院。于入院前2 d晨起自觉胸闷,坐位排稀便起立 The most common clinical symptoms of pulmonary embolism (PE) are sudden dyspnea, chest pain, and triad of hemoptysis [1], but are often not typical. It is reported in 1 cases of seemingly frequent episodes of epilepsy in acute large area pulmonary embolism cases after treatment. 1 medical record summary female, 67 years old. Due to episodes of loss of consciousness, limbs twitch 2 d in 2006-02-18 admission. Chest tightness was felt 2d before admission, and the sitting position was excreted