Gurumurthy Gerard, Reynolds Lianna, de Wit Kerstin, Roberts Lara N, Thachil Jecko
University of Manchester, Manchester, UK.
Paediatric Haematology, Royal Manchester Children's Hospital, Manchester, UK.
Clin Med (Lond). 2025 May 9;25(4):100325. doi: 10.1016/j.clinme.2025.100325.
Pulmonary embolism (PE) is often regarded as an acute disorder, yet emerging evidence underscores its chronic trajectory. Many survivors endure long-term complications, including recurrent thrombosis, persistent dyspnoea and psychosocial challenges. These sequelae impair functional capacity and quality of life long after the initial event. To address these issues, we suggest that clinicians should adopt an integrated, multidisciplinary model that includes risk stratification for recurrence, structured follow-up, exercise rehabilitation, and support for psychological challenges. Recognising the potential chronic sequalae of PE ultimately fosters comprehensive care aimed at reducing morbidity and improving long-term outcomes for survivors.
肺栓塞（PE）通常被视为一种急性疾病，但新出现的证据强调了其慢性病程。许多幸存者会遭受长期并发症，包括复发性血栓形成、持续性呼吸困难和心理社会挑战。这些后遗症在初始事件发生很久之后仍会损害功能能力和生活质量。为了解决这些问题，我们建议临床医生应采用一种综合的多学科模式，包括复发风险分层、结构化随访、运动康复以及应对心理挑战的支持措施。认识到PE潜在的慢性后遗症最终有助于提供全面的护理，旨在降低发病率并改善幸存者的长期预后。
