肺动脉高压患者行心脏手术的围术期处理

Peri - operative management of patients with pulmonary hypertension undertaking cardiac surgery

近年来针对肺动脉高压的研究及诊疗有所进步，但对于合并肺动脉高压行心脏手术的患者而言，其围术期的管理仍是极具挑战的临床难题。本文结合肺动脉高压的相关研究进展，重点就术前准备、术中管理、治疗药物及特殊问题处理等方面对肺动脉高压患者行心脏手术的围术期管理进行阐述。

In recent years, progress has been made in the research,diagnosis and treatment of pulmonary hypertension. However, the peri - operative management of patients with pulmonary hypertension undertaking cardiac surgery remains very challenging. The authors reviewed relevant development in the field of pulmonary hypertension research, and also current evidence concerning pre -operative preparation, intra- operative management, therapeutic agents and some special issues of those patients who would undertake cardiac surgery.