《中国肺动脉高压诊断与治疗指南(2021版)》解读:慢性血栓栓塞性肺动脉高压  

Interpretation of Guidelines for the Diagnosis and Treatment of Pulmonary Hypertension in China(2021 Edition):chronic thromboembolic pulmonary hypertension

作　　者：张云霞 翟振国[1] Zhang Yunxia;Zhai Zhenguo(Department of Pulmonary and Critical Care Medicine,Center of Respiratory Medicine,China-Japan Friendship Hospital,National Center for Respiratory Medicine,Institute of Respiratory Medicine,Chinese Academy of Medical Sciences,National Clinical Research Center for Respiratory Diseases,Beijing 100029,China)

机构地区：[1]中日友好医院呼吸与危重症医学科中日友好医院呼吸中心国家呼吸医学中心中国医学科学院呼吸病学研究院国家呼吸疾病临床研究中心,北京100029

出　　处：《国际呼吸杂志》2022年第5期350-354,共5页International Journal of Respiration

基　　金：中国医学科学院医学与健康科技创新工程项目(2021-I2M-1-049、2021-I2M-1-061)。

摘　　要：慢性血栓栓塞性肺动脉高压(CTEPH)是一种急性肺血栓栓塞症的远期并发症。2021年1月,《中国肺动脉高压诊断与治疗指南(2021版)》发布,将CTEPH作为单独章节,从CTEPH早期识别、诊断及治疗三个方面出发,明确了如何利用影像学检查早期识别CTEPH,提出了肺动脉血栓内膜剥脱术、靶向药物治疗、球囊肺动脉成形术的适应证及临床获益,强调了建立专业CTEPH诊疗中心的重要性。本文旨在结合临床实践,对指南CTEPH章节内容进行分析解读,更好地指导CTEPH的规范诊治。Chronic thromboembolic pulmonary hypertension(CTEPH)is a long-term complication of acute pulmonary thromboembolism.CTEPH was described as a separate chapter in Guidelines for the Diagnosis and Treatment of Pulmonary Hypertension in China(2021 Edition).Focusing on early identification,diagnosis and treatment,it clarified how to use imaging examination to identify CTEPH early,described the indications and benefits of pulmonary thromboendarterectomy,targeted drugs,and balloon pulmonary angioplasty,emphasized the importance of establishing professional CTEPH diagnosis and treatment center.This article will give an interpretation of this chapter of guidelines based on clinical practice,in order to better guide the standardized diagnosis and treatment of CTEPH.

关 键 词：肺动脉高压 肺动脉血栓内膜剥脱术 球囊肺动脉成形术 指南 

分 类 号：R544.1[医药卫生—心血管疾病]