摘要
慢性血栓栓塞性肺动脉高压是一类预后极差的肺动脉阻塞性疾病,可导致肺血管阻力增加及右心衰竭。目前唯一的治愈方法为外科肺动脉内膜剥脱术。但可由于栓塞位于远端血管或合并其他并发症等原因而不能手术。这些患者预后不良,生活质量极差。近年来,球囊肺血管成形术已发展成为一种用于消除梗阻的替代疗法,且能在患者受益与风险间取得平衡。本文就肺动脉球囊血管成形术在慢性血栓栓塞性肺动脉高压治疗中的应用进展作一综述,以提高临床医生对该技术的认识。
Chronic thromboembolic pulmonary hypertension(CTEPH)is a kind of poor prognosis of pulmonary artery occlusive disease which can lead to increased pulmonary vascular resistance and heart failure.The only cure at present is the pulmonary endarterectomy(PEA).However,there are still some patients who can’t benefit from it for a variety of reasons.Balloon pulmonary angioplasty(BPA)has developed into an alternative therapy for the elimination of obstruction and can balance the patient s benefits and risks.In this review,the application of BPA in CTEPH was summarized,to improve the understanding of this technology in clinicians.
作者
胡学华
倪吉祥
李昭
赵天明
马远坤
杨玉婷
Hu Xuehua;Ni Jixiang;Li Zhao;Zhao Tianming;Ma Yuankun;Yang Yuting(Department of Respiratory and Critical Care Medicine,University,the First People’s Hospital of Yichang,Yichang 443000,China)
出处
《国际呼吸杂志》
2019年第1期51-55,共5页
International Journal of Respiration
基金
国家自然科学基金(81200052)
湖北省教育厅项目(D20171201).
关键词
高血压
肺性
血栓栓塞
血管成形术
Hypertension,pulmonary
Thromboembolism
Angioplasty
