关键词: 急性肺栓塞, 危险分层, 抗凝, 溶栓, 腔内治疗

Abstract: Diagnosis and management of acute pulmonary embolism         YANG Xin-rui，YE Kai-chuang，LU Xin-wu. Department of Vascular Surgery, Shanghai Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine；Vascular Center of Shanghai Jiaotong University, Shanghai 200011,China
Corresponding author：LU Xin-wu，E-mail：luxinwu@aliyun.com
Abstract    The incidence of acute pulmonary embolism is high，and the atypical symptoms are easy to cause misdiagnosis.Diagnosis and risk stratification determine the treatment strategy for acute pulmonary embolism.Anticoagulation and systemic thrombolysis have been the main treatment options for decades，and endovascular techniques have been increasingly used in the treatment of acute pulmonary embolism.Especially for patients with bleeding risk，it may reduce the overall risk of patients and improve the prognosis.Better protocols and treatment algorithms that are derived from sound，large-scale randomized clinical trials will be crucial.

Key words: acute pulmonary embolism, risk stratification, anticoagulation, thrombolysis, endovascular treatment