慢性血栓栓塞性肺动脉高压  

Chronic thromboembolic pulmonary hypertension

作　　者：唐春香[1] 张龙江[1] 卢光明[1] 

机构地区：[1]南方医科大学南京临床医学院(南京军区南京总医院)医学影像科,南京医学硕士研究生210002

出　　处：《医学研究生学报》2012年第10期1092-1096,共5页Journal of Medical Postgraduates

基　　金：江苏省自然科学基金(BK2009316);江苏省第七批六大人才高峰项目(WSW-122);江苏省医学重点人才项目(RC2011129)

摘　　要：慢性血栓栓塞性肺动脉高压(chronic thromboembolic pulmonary hypertension,CTEPH)是导致严重肺动脉高压(pulmonary artery hypertension,PAH)的主要原因之一。CTEPH在临床上并不少见,但由于认识不足,常延误诊断和治疗,致使患者死亡。CTEPH是由于肺动脉被未完全及机化的血栓阻塞,继而引起肺动脉阻力增加。该病发病率有逐年上升趋势。在无干预状态下,CTEPH无有效的内科治疗方法,肺动脉内膜剥脱术(pulmonary thromboendarterctomy,PTE)是较好的可选择的外科治疗手段。肺移植术仅是PTE不可行时的替代性治疗。Chronic thromboembolic pulmonary hypertension （CTEPH） is one of main reasons causing severe pulmonary artery hypertension. CTEPH is not rare, but the poor recognition results in diagnostic delay and death. It results from complete or incomplete occlusion by organized thrombus in pulmonary arteries, which increases the pulmonary vascular resistance, and the incidence is in- creasing. Pulmonary thromboendarterctomy is a therapeutic option, while none of the medical therapies could be effective alone. Be- sides, lung grafting is only a substitutional option when pulmonary thromboendarterctomy cannot work.

关 键 词：慢性血栓栓塞性肺动脉高压 肺动脉栓塞CT 肺动脉成像 

分 类 号：R543.2[医药卫生—心血管疾病]