Kubyshkin V F, Soldatchenko S S, Konovalov V I
Ter Arkh. 1985;57(2):114-6.
A total of 203 patients with chronic obstructive pulmonary diseases (COPD) with normal blood pressure (BP) as well as with systemic arterial hypertension of different character (labile and stable pulmonogenic essential hypertension) were examined. It was established that if COPD is associated with labile pulmonogenic hypertension and essential hypertension, the underlying disease runs a more benign course. In patients with COPD associated with normal BP or with labile pulmonogenic hypertension, use can be made of broncholytic drugs of different adrenoreceptor action. In associated COPD and stable pulmonogenic hypertension or essential hypertension it is desirable to administer selective stimulants of beta-2-adrenoreceptors, e.g. salbutamol.
对总共203例血压正常以及患有不同类型(波动性和稳定性肺源性原发性高血压)系统性动脉高血压的慢性阻塞性肺疾病(COPD)患者进行了检查。结果发现,如果COPD与波动性肺源性高血压和原发性高血压相关联,基础疾病的病程会更良性。在患有血压正常或波动性肺源性高血压的COPD患者中,可以使用具有不同肾上腺素能受体作用的支气管溶解药物。在合并COPD和稳定性肺源性高血压或原发性高血压的情况下,宜给予β-2肾上腺素能受体的选择性刺激剂,如沙丁胺醇。