关键词: 肺动脉栓塞, 普通外科, D-二聚体, Wells评分, 高危

Abstract: How to diagnosis and salvage pulmonary embolism for general surgical surgeon        JIANG Jin-jun. Department of Pulmonary and Critical Care Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Abstract    Pulmonary embolism is commonly occurred in general surgical patients. The general surgical surgeon should master and improve these basic knowledges of diagnosis and treatment. In the rescue of acute pulmonary embolism, it is important to pretreat and get a consultation immediately. For patients with suspicious clinical manifestations and sign of pulmonary embolism，D-dimer should be tested. If it’s positive, the Wells score will be calculated. Then confirmed diagnosis examination would be examined with the score more than 2. The salvage of pulmonary embolism is according to two different situations which include suspicious or diagnosed high risk pulmonary embolism. It’s very difficult to manage the suspicious case that need the support from the multidisciplinary team.

Key words: pulmonary embolism, general surgy, D-dimer, Wells score, high risk