| 张宜文,朱贞贞,高锟,等.专科医院肺动脉高压住院构成和临床特征[J].安徽医药,2020,24(11):2241-2244. |
| 专科医院肺动脉高压住院构成和临床特征 |
| Hospitalization composition and clinical characteristics of pulmonary hypertension in specialized hospital |
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| DOI：10.3969/j.issn.1009?6469.2020.11.031 |
| 中文关键词: 高血压，肺性 低氧 肺疾病，慢性阻塞性 住院构成 临床特点 |
| 英文关键词: Hypertension,pulmonary Hypoxia Pulmonary disease,chronic obstructive Hospitalization constituent Clini? cal features |
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| 中文摘要: |
| 目的探讨专科医院肺动脉高压的住院构成、分类、分级和临床特征。方法回顾性分析 2015年 12月至 2017年 3月就诊于安徽省胸科医院 101例经超声心动图检查诊断的中重度肺动脉高压的病人，分类方法是按 2013年肺动脉高压病因分类和亚型病因分类，分析两种分类法的异同、其住院病因种类与临床表现。结果 101例肺动脉高压病人中， 48例(47.52%)是低氧血症相关的肺动脉高压以及肺部疾患相关的肺动脉高压， 27例(26.73%)是左心疾病相关的肺动脉高压， 12例(11.88%)肿瘤等混合性肺动脉高压， 9例(8.91%)是慢性肺栓塞引起的肺动脉高压， 5例(4.95%)是特发的肺动脉高压。亚型病因中最多的是左心疾病相关的(舒张期和收缩期疾病)肺动脉高压 27例(26.73%)和慢阻肺相关的肺动脉高压 24例(23.76%)。肺动脉收缩压(SPAP)按超声分级，重度 43例(42.57%)轻度 37例(36.63%)，中度 21例(20.79%)。肺动脉高压合并呼吸衰竭有 30例 |
| 英文摘要: |
| Objective To discuss the hospitalization Composition and Clinical features of Pulmonary Arterial Hypertension in spe?cialized hospital.Methods We retrospective analyzed 101 Pulmonary Arterial Hypertension(PAH)patients which were diagnosed by echocardiography in the Anhui provincial chest hospital from December 2015 to March 2017，and used the latest classification of PAH in 2013 and etiological classification of subtypes，then analyzed the differences and similarities of the two classifications，the composition of inpatient etiology and clinical features.Results In the study of 101 patients with PAH，48(47.52%)patients with hypoxia and pulmonary disease，27(26.73%)with left heart disease，12(11.88)with tumor and other mixed pulmonary hyperten?sion，9(8.91%)with chronic pulmonary embolism，5(4.95%)with idiopathic pulmonary hypertension，The most common subclass of etiology was left heart disease and chronic obstructive pulmonary disease(COPD).According to systolic pulmonary artery pressure(SPAP)measured by ultrasound，the patients of mild，moderate，severe respectively ware 37(36.63%)21(20.79%)43(42.57%).30(29.7%)patients were PAH with respiratory failure，22(21.78%)with hypoxemia， hypoxemiaut this was not proportional to the degree of pulmonary hypertension..Conclusion In specialized hospital，the most common subtype of PAH is hy? poxemia and pulmonary diseases，COPD is the most common cause of PAH；There is no difference between the latest classification of PAH in 2013 and etiological classification of subtypes；Severe PAH is more common then another two；We find not proportional 49(48.51%)withoutb，relationship between the degree of PAH and intensity of hypoxia. |
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