专科医院肺动脉高压住院构成和临床特征  

Hospitalization composition and clinical characteristics of pulmonary hypertension in specialized hospital

作　　者：张宜文 朱贞贞 高锟 吴寒梅 郝红星 潘晶晶 欧金春 孔卓超 吴丹 朱文芳 李远远 陈晴晴 ZHANG Yiwen;ZHU Zhenzhen;GAO Kun;WU Hanmei;HAO Hongxing;PAN Jingjing;OU Jinchun;KONG Zhuochao;WU Dan;ZHU Wenfang;LI Yuanyuan;CHEN Qingqing(Department of Respiratory,Anhui Provincial Chest Hospital,Hefei,Anhui 230022,China;Department of Ultrasonic,Anhui Provincial Chest Hospital,Hefei,Anhui 230022,China)

机构地区：[1]安徽省胸科医院呼吸科,安徽合肥230022 [2]安徽省胸科医院超声室,安徽合肥230022

出　　处：《安徽医药》2020年第11期2241-2244,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨专科医院肺动脉高压的住院构成、分类、分级和临床特征。方法回顾性分析2015年12月至2017年3月就诊于安徽省胸科医院101例经超声心动图检查诊断的中重度肺动脉高压的病人,分类方法是按2013年肺动脉高压病因分类和亚型病因分类,分析两种分类法的异同、其住院病因种类与临床表现。结果101例肺动脉高压病人中,48例(47.52%)是低氧血症相关的肺动脉高压以及肺部疾患相关的肺动脉高压,27例(26.73%)是左心疾病相关的肺动脉高压,12例(11.88%)肿瘤等混合性肺动脉高压,9例(8.91%)是慢性肺栓塞引起的肺动脉高压,5例(4.95%)是特发的肺动脉高压。亚型病因中最多的是左心疾病相关的(舒张期和收缩期疾病)肺动脉高压27例(26.73%)和慢阻肺相关的肺动脉高压24例(23.76%)。肺动脉收缩压(SPAP)按超声分级,重度43例(42.57%),轻度37例(36.63%),中度21例(20.79%)。肺动脉高压合并呼吸衰竭有30例(29.7%),低氧血症22例(21.78%),非低氧血症49例(48.51%),与肺动脉高压的程度不成正比。结论在专科医院,低氧和肺部疾病相关的肺动脉高压是最常见的类型,慢性阻塞性肺疾病的肺动脉高压是亚型病因中最常见的类型,肺动脉高压2013年最新病因分类和亚型病因分类之间的临床特征无大差别,肺动脉高压以重度为多,肺动脉压力与低氧程度不成正比。Objective To discuss the hospitalization Composition and Clinical features of Pulmonary Arterial Hypertension in specialized hospital.Methods We retrospective analyzed 101 Pulmonary Arterial Hypertension(PAH)patients which were diagnosed by echocardiography in the Anhui provincial chest hospital from December 2015 to March 2017,and used the latest classification of PAH in 2013 and etiological classification of subtypes,then analyzed the differences and similarities of the two classifications,the composition of inpatient etiology and clinical features.Results In the study of 101 patients with PAH,48(47.52%)patients with hypoxia and pulmonary disease,27(26.73%)with left heart disease,12(11.88)with tumor and other mixed pulmonary hypertension,9(8.91%)with chronic pulmonary embolism,5(4.95%)with idiopathic pulmonary hypertension,The most common subclass of etiology was left heart disease and chronic obstructive pulmonary disease(COPD).According to systolic pulmonary artery pressure(SPAP)measured by ultrasound,the patients of mild,moderate,severe respectively ware 37(36.63%),21(20.79%),43(42.57%).30(29.7%)patients were PAH with respiratory failure,22(21.78%)with hypoxemia,49(48.51%)without hypoxemia,but this was not proportional to the degree of pulmonary hypertension..Conclusion In specialized hospital,the most common subtype of PAH is hypoxemia and pulmonary diseases,COPD is the most common cause of PAH;There is no difference between the latest classification of PAH in 2013 and etiological classification of subtypes;Severe PAH is more common then another two;We find not proportional relationship between the degree of PAH and intensity of hypoxia.

关 键 词：高血压 肺性 低氧 肺疾病 慢性阻塞性 住院构成 临床特点 

分 类 号：R544.1[医药卫生—心血管疾病]