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静脉注射前列腺素I2继以口服类似物成功治疗系统性红斑狼疮和肺动脉高压

Successful treatment of systemic lupus erythematosus and pulmonary hypertension with intravenous prostaglandin I2 followed by its oral analogue.

作者信息

Ooiwa H, Miyazawa T, Yamanishi Y, Hiyama K, Ishioka S, Yamakido M

机构信息

Department of Pulmonary Medicine, Hiroshima City Hospital.

出版信息

Intern Med. 2000 Apr;39(4):320-3. doi: 10.2169/internalmedicine.39.320.

DOI:10.2169/internalmedicine.39.320
PMID:10801148
Abstract

Systemic lupus erythematosus (SLE) is sometimes reported to complicate fatal pulmonary hypertension. A 46-year-old woman, with a ten-year history of SLE and pulmonary hypertension, was admitted to our hospital complaining of dyspnea and chest pain. She suffered pulmonary hemorrhage and after steroid pulse therapy, she underwent continuous intravenous infusion of epoprostenol (prostaglandin I2) with corticosteroid for four weeks, which reduced the pulmonary artery pressure and resistance. Following the successful treatment, beraprost sodium, an oral PGI2 analogue, was given and it maintained pulmonary hypertension remittance for four years.

摘要

系统性红斑狼疮(SLE)有时据报道会并发致命性肺动脉高压。一名46岁女性,有10年SLE和肺动脉高压病史,因呼吸困难和胸痛入院。她发生了肺出血,在进行类固醇冲击治疗后,她接受了依前列醇(前列腺素I2)与皮质类固醇的持续静脉输注四周,这降低了肺动脉压力和阻力。成功治疗后,给予了口服PGI2类似物贝拉普罗钠,它使肺动脉高压缓解状态维持了四年。

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引用本文的文献

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Clinical aspects of pulmonary hypertension in patients with systemic lupus erythematosus and in patients with idiopathic pulmonary arterial hypertension.系统性红斑狼疮患者及特发性肺动脉高压患者的肺动脉高压临床特征
Clin Rheumatol. 2006 Nov;25(6):866-72. doi: 10.1007/s10067-006-0206-5. Epub 2006 Feb 22.
2
Low-dose epoprostenol improved pulmonary hypertension in a patient with systemic lupus erythematosus.低剂量依前列醇改善了一名系统性红斑狼疮患者的肺动脉高压。
Clin Rheumatol. 2007 Apr;26(4):582-3. doi: 10.1007/s10067-005-0170-5. Epub 2006 Jan 4.
3
Is sildenafil effective in secondary pulmonary hypertension due to systemic lupus erythematosus? A case report.
西地那非对系统性红斑狼疮所致继发性肺动脉高压有效吗?一例病例报告。
Clin Rheumatol. 2005 Nov;24(6):671-2. doi: 10.1007/s10067-005-1090-0. Epub 2005 Jun 11.