[ 慢性血栓栓塞性肺高血压 ]
Thomas Lacoste-Palasset1, Mitja Jevnikar1, Xavier Jaïs1
1Service de pneumologie et soins intensifs respiratoires, centre de référence de l'hypertension pulmonaire, hôpital Bicêtre, AP-HP, Le Kremlin-Bicêtre, France ; université Paris-Saclay, faculté de médecine, Le Kremlin-Bicêtre, France ; Inserm UMR-S 999, hôpital Marie-Lannelongue, Le Plessis-Robinson, France.
慢性血栓栓塞性肺高血压 (CTEPH) 在肺栓塞 (PE) 后出现. 诊断包括右心脏导管和成像,治疗包括手术,药物或血管造形术.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 放射学 放射学是一门学科.
背景情况:
- 慢性血栓栓塞性肺高血压 (CTEPH) 经常跟随急性肺栓塞 (PE).
- 在PE后持续性呼吸障碍需要对CTEPH进行查,特别是有风险因素的情况.
- 经常在肺高血压 (PH) 评估期间诊断出CTEPH.
研究的目的:
- 要概述CTEPH的诊断途径.
- 详细说明CTEPH的诊断标准.
- 介绍CTEPH的可用治疗方式.
主要方法:
- 心声学和呼吸透气肺部扫描用于查.
- 右心脏导管检查以确认PH.
- CT肺血管造影和/或常规肺血管造影用于病变识别.
主要成果:
- 诊断确认需要通过右心导管检查来证明PH.
- 影像检查必须揭示特征性的慢性血栓栓塞性病变.
- 治疗决策以阻塞位置,血液动力学严重程度和并发症为指导.
结论:
- 建议所有CTEPH患者服用有效的抗凝药.
- 对于CTEPH的治疗选择包括肺内关节切除术,药物治疗和气球肺血管整形术.
- 治疗选择取决于个体患者的因素和疾病特征.
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