本文介绍四例慢性充血性心力衰竭患者并发肺栓塞,对其临床诊断、治疗体会如下。临床资料1.性别和年龄男性2例,女性2例,年龄41～45岁。2.症状与体征均有风湿性心脏病史十年以上。3例心衰Ⅲ°,1例心衰Ⅱ°。平时均有心慌、气短、尿少、浮肿,不能平卧。发病后,均有进行性呼吸困难、胸痛、咳血 This article describes four cases of patients with chronic congestive heart failure complicated by pulmonary embolism, its clinical diagnosis and treatment as follows. Clinical data 1. Sex and age 2 males and 2 females, aged 41 to 45 years old. 2. Symptoms and signs of rheumatic heart disease have a history of more than 10 years. 3 cases of heart failure Ⅲ °, 1 case of heart failure Ⅱ °. Usually have palpitation, shortness of breath, oliguria, edema, can not lie down. After onset, both progressive dyspnea, chest pain, hemoptysis