老年人肺动脉高压的特点及诊治原则  

Characteristics and principles of diagnosis and treatment of pulmonary hypertension in the elderly

作　　者：李小鹰 Li Xiaoying(The Second Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]中国人民解放军总医院第二医学中心,北京100853

出　　处：《中华老年医学杂志》2023年第7期755-759,共5页Chinese Journal of Geriatrics

摘　　要：肺动脉高压(PH)是老年人常见的病症,在65岁及以上人群中患病率较高。老年人群中以左心疾病所致肺动脉高压和肺部疾病和(或)低氧所致PH为主,其临床症状缺乏特异性,治疗上根据不同类型病因而异,其预防主要为基础病因的防治,预后与其基础疾病、肺动脉平均压、肺血管阻力和右心功能的状况密切相关。本文将结合相关进展对老年人PH特点及诊治原则进行介绍。Pulmonary hypertension is a common disease in the elderly,with a higher prevalence in people 65 years and older.Pulmonary hypertension is mainly caused by left heart disease and pulmonary disease and/or hypoxia in the elderly.The clinical symptoms are lack of specificity and the treatment varies according to different types of disease.The prevention is mainly based on the prevention and treatment of underlying causes and the prognosis is closely related to the underlying diseases,mean pulmonary artery pressure,pulmonary vascular resistance and right heart function.This article will combine the related progress to introduce the characteristics and the principles of diagnosis and treatment of pulmonary hypertension in the elderly.

关 键 词：高血压 肺性 诊断 治疗 

分 类 号：R544.1[医药卫生—心血管疾病]