期刊文献+

少见病因所致肺动脉高压的诊断和治疗 被引量:4

The Diagnosis and Treatment of Pulmonary Arterial Hypertension Due to Rare Causes
下载PDF
导出
摘要 目的探讨少见病因所致肺动脉高压的诊断和治疗。方法回顾性分析2001年2月~2008年3月北京安贞医院诊治的4例少见病因所致肺动脉高压患者的临床、实验室检查、诊断及治疗。结果原发性胆汁性肝硬化、甲状腺功能亢进症、抗磷脂综合征、肺动脉肉瘤等均可引起肺动脉高压,给予相应治疗后病情有不同程度缓解。结论一些少见病因可致肺动脉高压,提高这方面的认识有助于早期诊治,改善患者预后。 Objective To investigate the diagnosis and treatment of pulmonary arterial hypertension (PAH) due to rare causes. Methods The clinical presentation, laboratory testing, diagnosis and treatment of 4 patients with PAH associated with rare causes in Beijing Anzhen Hospital from January 2001 to March 2008 were analysed retrospectively. Results Primary biliary cirrhosis, hyperthyroidism, antiphospholipid syndrome and pulmonary artery sarcoma may cause PAH, which were improved after corresponding diagnosis and management. Conclusion PAH can result from rare causes. The enhancement of its recognition will help earlier diagnosis and treatment and improve the prognosis.
出处 《中国呼吸与危重监护杂志》 CAS 2009年第1期68-71,共4页 Chinese Journal of Respiratory and Critical Care Medicine
关键词 肺动脉高压 病因 原发性胆汁性肝硬化 甲状腺功能亢进症 抗磷脂综合征 肺动脉肉瘤 Pulmonary arterial hypertension Etiology Primary biliary cirrhosis Hyperthyroidism Antiphospholipid syndrome Pulmonary artery sarcoma
  • 相关文献

参考文献14

  • 1黄燕,李为民.结缔组织病与肺动脉高压研究进展[J].中国呼吸与危重监护杂志,2007,6(6):473-475. 被引量:2
  • 2Mantz FA, Craig E. Portal axis thrombosis with spontaneous portacaval shunt and resultant cor pulmonale. Arch Pathol Lab Med, 1951, 52 : 91-97.
  • 3Yohida EM, Erb SR, Ostrow DN, et al. Pulmonary hypertension associated with primary biliary cirrhosis in the absence of portal hypertension : a case report. Gut, 1994,35:280-282.
  • 4沈敏,张烜,张奉春.原发性胆汁性肝硬化合并肺动脉高压的临床分析[J].中华医学杂志,2005,85(14):946-948. 被引量:5
  • 5Benjaminov FS, Prentice M, Sniderman KW, et al. Portpulmonanry hypertension in deeompensated cirrhosis with refractory ascites. Gut, 2003,52 : 1355-1362.
  • 6Budhiraja R, Hassoun PM. Portpulmonary hypertension : a tale of two circulation. Chest ,2003,123:562-572.
  • 7Ronald C. Thyrotoxicosis as a risk factor for pulmonary arterial hypertension. Ann Intern Med ,2006,144:222.
  • 8吴红花,郭晓蕙,高燕明.甲状腺功能亢进性心脏病75例临床分析[J].中华医学杂志,2007,87(4):262-264. 被引量:10
  • 9Nakchbandi IA, Wirth JA, Inzucchi SE. Pulmonary hypertension caused by Graves' thyrotoxicosis:normal pulmonary hemodyttamics restored by ^131I treatment. Chest, 1999,116 : 1483-1485.
  • 10Marvisi M, Brianti M, Marani G, et al. Hyperthyroidism and pulmonary hypertension. Respir Meal,2002,96:215-220.

二级参考文献69

  • 1周善存,张伟,王少波,陈以初.甲状腺功能亢进性心脏病患者左室功能改变的研究[J].广东药学院学报,2005,21(2):214-216. 被引量:5
  • 2季颖群,张卓莉,陆慰萱.结缔组织病相关肺动脉高压的临床分析[J].中华内科杂志,2006,45(6):467-471. 被引量:35
  • 3Mandell MS, Groves BM. Pulmonary hypertension in chronic liver disease. Clin Chest Med, 1996, 17: 17-33.
  • 4Hoeper MM, Krowka MJ, Strassburg CP, et al. Portopulmonary hypertension and hepatopulmonary syndrome. Lancet, 2004, 363:1461-1468.
  • 5Naeije R. Hepatopulmonary syndrome and portopulmonary hypertension. Swiss Med Wkly, 2003, 133: 163-169.
  • 6Budhiraja R, Hassoun PM. Portopulmonary hypertension: a tale of two circulations. Chest, 2003, 123 : 562-576.
  • 7Edwards BS, Weir EK, Edwards WE, et al. Co-existent pulmonary hypertension and portal hypertension: morphologic and clinical features. J Am Coll Cardiol, 1987, 10: 1233-1238.
  • 8Heathcote EJ. Management of primary biliary cirrhosis. Hepatology,2000, 31:1005-1013.
  • 9Wallace JG, Tong MJ, Ueki BH, et al. Pulmonary involvement in primary biliary cirrhosis. J Clin Gastroenterol, 1987, 9: 431-435.
  • 10McGoon M, Gutterman D, Steen V, et al. Pulmonary arterial hypertension. ACCP evidence-based clinical practice guideline.Chest, 2004, 126(Suppl) : 10s-33s.

共引文献30

同被引文献46

  • 1Terra RM, Fernandez A, Bammann RH, et al. Pulmonary artery sarcoma mimicking a pulmonary artery aneurysm.. Ann Thorac Surg,2008 ,86 ,1354-1355.
  • 2Pewarchuk JA, Nassaradla CL, Midthun DE. A 39-year- old woman with cough, chest pressure, and worsening dyspnea. Chest, 2007, 131:934-937.
  • 3Kaderil AA, Baren I, Sag S, et al. A rare reason for pulmonary hypertension:primary sarcoma of the pulmonary artery. Heart Surg Forum,2010,13:28-30.
  • 4Scheffel H, Stolzmann P, Plass A, et al. Primary intimal pulmonary artery sarcoma: a diagnostic challenge. J Thorac Cardiovasc Surg, 2008,135:949-950.
  • 5Huo L, Maron CA, Fuller GN, et al. Pulmonary artery sarcoma: a clinicopathologic and mmunohistochemical study of 12 cases. Am J Clin Pathol,2006,125:419-424.
  • 6Stella F, Davoli F, Brandolini J, et al. Pulmonary artery leiomyosarcoma successfully treated by right pneumonectomy. Asian Cardiovasc Thorac Ann,2009,17:513-515.
  • 7Kim HK, Choi YS, Kim K, et al. Surgical treatment for pulmonary artery sarcoma. Eur J Cardiothorac Surg,2008,33:712-716.
  • 8Yigla M, Nakhoul F, Sabag A, et al. Pulmonary hypertension in patients with end-stage renal disease. Chest,2003,123:1577-1582.
  • 9Amin M, Fawzy A, Hamid MA, et al. Pulmonary hypertension in patients with chronic renal failure. Chest ,2003,124:2093-2097.
  • 10Berger M, Haimowitz A, Van Tosh P, et al. Quantitative assessment of pulmonary hypertension in patients with tricuspid regurgitation using continuous wave doppler ultrasound. J Am Coil Cardiol, 1985, 6:359-365.

引证文献4

二级引证文献17

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部