肺动脉高压32例临床分析
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[摘要] 目的 总结肺动脉高压(PAH)的早期诊断、临床特征、病因类型和治疗方法。方法 回顾性总结本院收治的32例肺动脉高压患者的临床表现、实验室检查、治疗和预后,并结合文献进行回顾性分析。结果 32例患者中动脉性PAH 24例,静脉性PAH 4例,与呼吸系统疾病或缺氧相关性PAH 3例,慢性血栓或栓塞性PAH 1例。70%以上的患者出现呼吸困难、乏力,50%的患者出现心悸症状,65.63%的患者可查见P2亢进。结论PAH有多种类型,临床表现多样,不同类型预后差别较大。
[关键词] 肺动脉高压;分型;治疗;预后
[中图分类号] R563[文献标识码] A [文章编号] 1673-9701(2010)04-58-02
Pulmonary Artery High Pressure: A Clinical Analyses of 32 Cases
LIU Weiming
Dongguan Municipal Dalang Hospital,Dongguan 523770,China
[Abstract] Objective To summarize early diagnosis,clinical characteristic,cause type and treatment of pulmonary artery high pressure. Methods A retrospective study was carried out of clinical manifestations,laboratory examinations,treatment and prognosis in 32 cases of pulmonary hypertension admitted to our hospital. Results In 32 cases,there were 24 cases of median artery pulmonary artery high pressure,4 of vein pulmonary artery high pressure,3 respiratory disorder or oxygen deficit relevant pulmonary artery high pressure,and one case of chronic thrombus or thrombosis-related pulmonary artery high pressure ......
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