Objective Emergency diagnosis of acute pulmonary embolism,research on effective treatments.Methods The study selected 46 cases of patients with a-cute pulmonary embolism in our hospital,with the help of various auxiliary examination means,such as blood gas analysis,According to the severity of the thrombolytic and anticoagulant therapy.Study the therapeutic effect.Results 10 cases of specific changes in SI Q Ⅲ T Ⅲ typical,22 cases of hypoxemia and hypocapnia,11,21 D-two mer positive,11 cases of pulmonary perfusion defect,3 cases of pulmonary artery thrombosis,8 cases with pulmonary low density filling defect;46 cases of patients af-ter treatment,effective 40 cases,invalid in 6 cases,of which 2 cases died,the total effective rate of the treatment was 87%.Conclusion The diagnosis is of high value in the diagnosis of acute pulmonary embolism ,thrombolytic therapy and anticoagulant therapy in treatment of acute pulmonary embolism in a very good effect .