摘要
目的总结呼吸科住院肺动脉高压患者的病因构成及临床特点,提高呼吸科医生对肺动脉高压的认识水平。方法收集2014年1月至2015年8月山西医科大学第一医院呼吸科住院的189例肺动脉高压患者的临床资料,肺动脉高压均为超声心动图诊断。按最新肺动脉高压病因分类法分类,采用回顾性分析的研究方法探讨其病因构成与临床特征。结果 189例肺动脉高压患者占同期呼吸科住院患者的6.31%,其中动脉性肺动脉高压12例(6.35%);左心疾病相关肺动脉高压20例(10.58%);肺部疾病和(或)低氧相关肺动脉高压127例(67.20%);慢性血栓栓塞性肺动脉高压22例(11.64%);未明多因素机制相关肺动脉高压8例(4.23%)。亚类病因中慢性阻塞性肺疾病最常见,为102例(53.97%)。肺动脉压力以中、重度为主,为137例(72.49%)。结论肺动脉高压是综合医院呼吸科的常见疾病,肺部疾病和(或)低氧相关肺动脉高压是最常见的类型,其次为慢性血栓栓塞性肺动脉高压与左心疾病相关肺动脉高压。
Objective To summarize the etiological composition and clinical characteristics in patients with pulmonary hypertension（PH） hospitalized in department of respiratory medicine to improve the doctors, cognition of PH. Methods According to the latest classification of PH, a retrospective analysis was made in etiological composition and clinical characteristics of 189 patients with PH diagnosed by Doppler echocardiography hospitalized in department of respiratory medicine of the First Hospital of Shanxi Medical University from January 2014 to August 2015. Results Of all the patients hospitalized in department of respiratory medicine, 189 patients with PH accounted for 6.31% during this period. Of all the 189 patients, the etiological components in order were pulmonary arterial hypertension（6.35%）, left heart disease（10.58%）, lung diseases and/or hypoxia（67.20%）, chronic thromboembolic disease（11.64%） and unknown mechanisms（4.23%）. The most common etiology was chronic obstructive pulmonary disease（53.97%）. The major pulmonary artery pressure level was moderate to severe（72.49%）. Conclusion PH is a common disease in department of respiratory medicine of general hospital. Lung diseases and/or hypoxia related PH are the most common type, followed by chronic thromboembolic disease and left heart disease.
出处
《中华临床医师杂志（电子版）》
CAS
2016年第9期8-12,共5页
Chinese Journal of Clinicians(Electronic Edition)
基金
山西省科技攻关项目(20150313009-5)
关键词
肺动脉高压
病因构成
诊断
Pulmonary hypertension
Etiological composition
Diagnosis
