慢性血栓栓塞性肺高血压的临床-放射学-病理相关性
Tom Verbelen1,2, Laurent Godinas3,4, Peter Dorfmüller5
1Department of Cardiac Surgery, University Hospitals Leuven, Leuven, Belgium tom.verbelen@uzleuven.be.
概括
慢性血栓栓塞性肺高血压 (CTEPH) 是一种可治疗的疾病. 及时诊断和专业护理,包括手术或血管整形,可以恢复患者的功能能力和肺血液动力学.
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:
- 慢性血栓栓塞性肺高血压 (CTEPH) 是肺栓塞的一个罕见,严重的并发症.
- 它涉及到持续的血管阻塞,导致肺高血压和右心力衰竭.
研究的目的:
- 通过两个患者病例研究来说明CTEPH的诊断和治疗管理.
- 突出及时诊断和CTEPH专业治疗的重要性.
主要方法:
- 两名患有慢性血栓栓塞性肺病/CTEPH的患者的病例报告.
- 诊断工作包括成像 (V / Q扫描,CTPA,DSA) 和右心脏导管.
- 治疗包括肺内关节切除术,药物治疗和气球肺血管整形术.
主要成果:
- 一名患有慢性血栓栓塞性肺病的患者成功接受了肺内关节切除术.
- 患有不适合手术的CTEPH的患者2通过药物治疗和气球肺血管整形改善.
- 两名患者在治疗后实现了正常化的功能能力和血液动力学.
结论:
- 当早期诊断并由专业中心管理时,CTEPH是一种可治愈的疾病.
- 多模式治疗方法,包括手术和干预程序,对于CTEPH是有效的.
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