不能解释的肺动脉高压的诊断

THE DIAGNOSIS OF UNEXPLAINED PULMONARY HYPERTENSION

不能解释的肺动脉高压临床上包括三种疾病。本文报道41例,主要讨论该病的临床症状、体征、血液动力学、放射性核素肺灌注扫描、肺动脉造影等表现。并对本病的诊断程序作一介绍。

Three pathological entites, namely 'classieal'primary pulmonary hypertension, chronic silent thromboembolism and pulmonary veno-occlusive disease, are involved in unexplained pulmonary hypertension. Forty-one cases were reported in this paper. Symptoms, signs, hemodynamics, lung radio-nuclide perfusion scan, pulmonary angiography etc. of these patients were described. The diagnosis, usually by exclusion, and the treatment were discussed.