对急性肺栓塞的心肺表现,内科医生是熟知的,但对栓塞疾病的腹部表现通常很少注意。作者最近遇到了三例肺栓塞病人,除有肺部病变外,同时有严重的腹疼、腹胀、肝大和发热,容易误诊为肠梗阻、胰腺炎和腹膜炎。但白细胞计数、肝功和血淀粉酶试 Physicians are well aware of the cardiopulmonary manifestations of acute pulmonary embolism, but usually pay little attention to the abdominal manifestations of embolic disease. The author recently encountered three cases of pulmonary embolism, in addition to lung disease, while severe abdominal pain, bloating, hepatomegaly and fever, easily misdiagnosed as intestinal obstruction, pancreatitis and peritonitis. But white blood cell count, liver function and blood amylase test