目的探讨肺血栓栓塞症临床治疗措施。方法回顾分析65例患者的临床资料。结果 65例胸腔积液中,下肢静脉血栓25例,高血压、高血脂、心脏病19例,其他21例,经介入、溶栓、抗凝等治疗后,45例好转及治愈,11例治疗效果差,9例死亡。结论必须高度重视对肺血栓栓塞症的诊断,应综合考虑和分析患者的临床表现及各项实验室检查结果,早期作出肺栓塞的诊断,降低误诊率和漏诊率。一旦确诊应积极进行治疗,主要是溶栓和抗凝治疗,对慢性肺栓塞可进行外科取栓及介入治疗,最大限度地降低PE的病死率。 Objective To investigate the clinical treatment of pulmonary thromboembolism. Methods The clinical data of 65 patients were retrospectively analyzed. Results In 65 cases of pleural effusion, there were 25 cases of venous thrombosis of the lower extremities, 19 cases of hypertension, hyperlipidemia and heart disease and 21 cases of other cases. After interventional, thrombolytic and anticoagulation treatment, 45 cases were cured and cured, and 11 cases were treated Poor effect, 9 deaths. Conclusion It is necessary to attach great importance to the diagnosis of pulmonary thromboembolism. The patients’ clinical manifestations and laboratory tests should be considered and analyzed comprehensively. Early diagnosis of pulmonary embolism should be made and the rate of misdiagnosis and misdiagnosis should be reduced. Once the diagnosis should be actively treated, mainly thrombolytic and anticoagulant therapy, surgical embolization and interventional treatment of chronic pulmonary embolism, to minimize the mortality of PE.