Paleev N R, Tsar'kova L N, Chereĭskaia N K
Kardiologiia. 1988 Sep;28(9):5-9.
Pulmonary hypertension (PH) is a complicated, yet poorly studied problem of modern medicine. A combined clinico-instrumental study of clinical and pathophysiologic aspects of the PH syndrome of varying origins has substantiated nosological independence of primary PH. PH associated with vasculitis, primarily affecting the lungs, is described. Differential-diagnostic criteria of primary and chronic post-embolic PH are presented. Mechanisms of PH development and progress, and those of heart failure associated with chronic pulmonary obstructive diseases and congenital heart defects are discussed. PH classifications are proposed.
肺动脉高压(PH)是现代医学中一个复杂但研究不足的问题。对不同病因的PH综合征的临床和病理生理方面进行的临床仪器联合研究证实了原发性PH在疾病分类学上的独立性。描述了与血管炎相关的PH,主要累及肺部。提出了原发性和慢性栓塞后PH的鉴别诊断标准。讨论了PH发生和发展的机制,以及与慢性阻塞性肺疾病和先天性心脏缺陷相关的心力衰竭的机制。提出了PH的分类。