38例肺动脉高压诊治体会

The experience of diagnosis of pulmonary hypertension in 38 cases

目的探讨肺动脉高压患者的病因、临床表现、诊断和治疗,提高对肺动脉高压的认识与警惕性。方法对38例肺动脉高压患者的临床资料进行回顾性分析。结果肺动脉高压患者的发病原因、临床表现多种多样,97%的患者口服波生坦,62%的患者给予伊诺前列腺素(吸入或静点),48%的患者口服贝前列腺素等对症治疗,可取得良好的效果。氧饱和度升高了9.2%,肺动脉压力降低了9.4mm Hg。结论肺动脉高压的临床症状、体征不典型,误诊率高,需结合医技进行早期诊断,而早期治疗可提高患者的生存率。

Objective To explore the etiology of pulmonary hypertension patients, clinical manifestation, diagnosis and treatment, to improve the pulmonary artery high pressure understanding and vigilance. Methods The clinical data of Thirty-eight cases with pulmonary hypertension were retrospectively analyzed. Results The etiologies, clinical manifestation was varied in pulmonary artery hypertension patients, 97% of the patients oral Bosentan, 62% of the patients ino Prostaglandin （suction or static point）, 48% of the patients oral Beraprost Sodium treatment, could get a good effect. Oxygen saturation increased 9.2%, pulmonary artery pressure dropped by 9.4 mm Hg. Conclusion The atypical clinical symptoms, signs not typical in pulmonary artery hypertension patients, the misdiagnosis rate is high, should be combined with medical for early diagnosis and early treatment can improve the survival rate of patients.