Proper Management of Pulmonary Embolism

The proper management of pulmonary embolism includes the following aspects: 1. Emergency treatment: For patients with pulmonary embolism presenting shock, immediate administration of dopamine or epinephrine is required to correct arrhythmias caused by hypotension and maintain mean arterial pressure. 2. Thrombolytic therapy: For patients with severe symptoms, thrombolytic therapy is the first-line treatment, effectively reducing mortality and recurrence rates, with a treatment success rate typically exceeding 80%. 3. Anticoagulation therapy: Administration of anticoagulant drugs such as unfractionated heparin or warfarin prevents further thrombus formation; however, attention must be paid to the timing of treatment and contraindications. 4. Interventional therapy: For patients with massive pulmonary embolism presenting syncope, dyspnea, or other symptoms, interventional therapy should be considered. This involves using specialized medical devices to remove clots from the pulmonary artery and its branches.