先天性心脏病合并肺动脉高压分级及性质的评估

Evaluation of the grading and disorder assessment of congenital heart disease with pulmonary arterial hypertension

鉴别先天性心脏病合并肺动脉高压是动力型还是阻力型对治疗方案的选择和预后的评估均具重要意义。本文综述先天性心脏病合并肺动脉高压的临床分级、分期及肺动脉高压性质的判断,旨在为临床诊疗提供参考。

Pulmonary arterial hypertension is one of the most common and serious complications in congenital heart disease. Identification of whether the pulmonary arterial hypertension is dynamic or resistance remains as the great importance for deciding to transfer for surgery, intervention or conservative therapy and directly cohcerning with the prognosis and choice of treatment. This review mainly deals with the problems such as grading, staging, pathophysiology and the correlative mechanism with clinical assessment of pulmonary arterial hypertension in congenital heart disease and furthermore providing comprehensive informations for clinical diagnosis and treatment.