[ 慢性血栓栓塞性肺高血压 ]
Stefan Guth1, Heinrike Wilkens2, Michael Halank3
1Abteilung für Thoraxchirurgie, Kerckhoff-Klinik GmbH, Bad Nauheim, Deutschland.
慢性血栓栓塞性肺病 (CTEPD) 可能导致慢性阻塞. 早期诊断和专业治疗,包括肺内关节切除术或气球肺血管整形术,对于管理这种情况至关重要.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 血管医学 血管医学
背景情况:
- 慢性血栓栓塞性肺病 (CTEPD) 是急性肺栓塞的显著后续.
- 它涉及有组织的血栓,导致慢性肺动脉阻塞.
- 根据肺高血压 (PH) 的存在或不存在来对CTEPD进行分类,CTEPH表示PH.
研究的目的:
- 概述疑似慢性血栓栓塞性肺高血压 (CTEPH) 的诊断途径.
- 描述CTEPH目前的治疗方式.
- 强调专门诊断和管理中心的重要性.
主要方法:
- 最初的诊断包括心声回声和通风/ perfusion 扫描.
- 转介到CTEPH中心进行高级成像和右心脏导管.
- 对肺内关节切除术 (PEA),气球肺血管整形术 (BPA) 或医疗治疗的评估.
主要成果:
- 肺内关节切除术 (PEA) 是主要的手术治疗方法.
- 气球肺血管整形术 (BPA) 和PH向性医疗治疗是不可手术的患者或残留PH的患者的选择.
- 越来越多地使用结合PEA,BPA和药物治疗的多模式治疗概念.
结论:
- 准确的诊断和及时转诊到专门的CTEPH中心是必不可少的.
- 治疗选择取决于PEA后的可操作性和残留疾病.
- 医疗中心需要大量的手术和干预,以获得最佳的患者结果.
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