妊娠合并肺动脉高压诊治进展  

Progress in diagnosis and treatment of pregnancy complicated with pulmonary arterial hypertension

作　　者：徐云燕 张灿 常开丽 刘伟[1] 卓倩 李昇铃 何祖益 戴海龙[1] XU Yunyan;ZHANG Can;CHANG Kaili;LIU Wei;ZHUO Qian;LI Shengling;HE Zuyi;DAI Hailong(Key Laboratory of Cardiovascular Disease of Yunnan Province,Clinical Medicine Center for Cardiovascular Disease of Yunnan Province,Department of Cardiology,Yan'an Affiliated Hospital of Kunming Medical University,Kunming 650051,China)

机构地区：[1]云南省心血管疾病重点实验室,云南省心脏疾病临床医学中心,昆明医科大学附属延安医院心血管内科,昆明650051

出　　处：《实用医学杂志》2023年第22期2914-2920,共7页The Journal of Practical Medicine

基　　金：国家自然科学基金项目(编号:82060018,81700438);云南省科技计划项目(编号:202301AY070001-300,202101AS070043,202102AA310003-7,202105AF150019)。

摘　　要：肺动脉高压是一组多因素引起的进展性心肺血管疾病,预后差。妊娠合并肺动脉高压更容易发生右心衰竭、肺高压危象、恶性心律失常、心源性休克等严重并发症,死亡率高。目前对于妊娠合并肺动脉高压尚无规范的诊疗指南。近年来,妊娠合并肺动脉高压的诊治及管理受到了关注,本文对妊娠合并肺动脉高压的诊断和治疗做重要阐述,以期为临床提供参考。Pulmonary arterial hypertension is a progressive cardiovascular disease caused by multiple factors,with poor prognosis.Pregnancy with pulmonary arterial hypertension is more prone to serious complications such as right heart failure,pulmonary arterial hypertension crisis,malignant arrhythmia,and cardiogenic shock,with a high mortality rate.There is currently no standardized diagnosis and treatment guideline for pregnancy complicated with pulmonary arterial hypertension.In recent years,the diagnosis,treatment,and management of pregnancy complicated with pulmonary arterial hypertension have received attention.This article provides an important explanation of the diagnosis and treatment of pregnancy complicated with pulmonary arterial hypertension,in order to provide reference for clinical practice.

关 键 词：肺动脉高压 妊娠 危险因素 

分 类 号：R543.2[医药卫生—心血管疾病]