「肺栓塞」是少見但致命的疾病，但是由於症狀多變且不具特異性，因而時常被誤診而使病人無法及時獲得妥善治療，進而導致後續的高死亡率。一位剛下長途飛機的68歲外籍女性，因昏倒及上腹痛向機場醫療中心求助，卻突然發生到院前心肺功能停止，經CPR後回復自發性血液循環，被轉送至北部區域教學醫院急診室，後續被診斷「肺栓塞」。接受緊急治療後，病人病情逐漸改善，並在治療告一段落後，返回越南後續照顧。腹痛是基層醫療很常見的症狀，而「肺栓塞」也可能以腹痛來表現，是致命的疾病而且容易被延誤診斷。因此家庭醫學科醫師必須對「肺栓塞」的診斷有更高的警覺性，並且列入腹痛的重要鑑別診斷之一。
(台灣家醫誌2024; 34: 221-226) DOI: 10.53106/168232812024123404004
 
關鍵詞：肺栓塞、腹痛、機場、到院前心肺功能停止、胸部電腦斷層

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聯新國際醫院家庭醫學科
受理日期：113年4月17日 修改日期：113年5月24日 接受刊登：113年6月28日
^*通訊作者：羅錦祥 通訊地址：桃園市平鎮區廣泰路77號 E-mail: p0239229@gmail.com
 

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Pulmonary Embolism with Main Manifestations ofAbdominal Pain and Out-of-Hospital Cardiac Arrest

Chieh-Ting Kuo, Chin-Hsiang Lo^*, Hsuan-Cheng Ku and Huo-Ko Chin
 

Pulmonary embolism, a rare but fatal disease, is often misdiagnosed due to its varied andnon-specific symptoms, thereby preventing patients from receiving timely and appropriate treatmentand resulting in a high mortality rate.
A 68-year-old foreign woman, who had just disembarked from a long-distance flight, soughthelp at the airport medical center due to syncope and upper abdominal pain. However, out-ofhospitalcardiac arrest suddenly occurred. With CPR, spontaneous circulation was restored, and shewas transferred to a regional teaching hospital, where pulmonary embolism was diagnosed. Afteremergency treatment, the patient's condition gradually improved, and she was able to return toVietnam for follow-up care upon the completion of the treatment.
Abdominal pain is a highly prevalent complaint in primary care; it is also a commonmanifestation of pulmonary embolism, a fatal disease that can be easily misdiagnosed. Primary carephysicians therefore need to maintain a high level of vigilance when diagnosing pulmonaryembolism and consider it as one of the important differential diagnoses of abdominal pain.
(Taiwan J Fam Med 2024; 34: 221-226) DOI: 10.53106/168232812024123404004
 
Key words: abdominal pain, airport, chest computed tomography, out-of-hospital cardiac arrest,pulmonary embolism
 

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Department of Family Medicine, Landseed International Hospital, TaoYuan, Taiwan.
Received: April 17, 2024; Revised: May 24, 2024; Accepted: June 28, 2024.
^*Corresponding author