Poch David, Mandel Jess
From the University of California San Diego School of Medicine, La Jolla, California.
Ann Intern Med. 2021 Apr;174(4):ITC49-ITC64. doi: 10.7326/AITC202104200. Epub 2021 Apr 13.
Pulmonary hypertension is the term used to describe a group of disorders characterized by abnormally high pressures in the pulmonary arteries. Initial evaluation is focused on identifying the cause, which helps guide appropriate treatment. Pulmonary hypertension is often a feature of advanced common diseases, such as chronic obstructive pulmonary disease and left heart disease, and treatment is focused primarily on the underlying disease. More rarely, pulmonary hypertension results from chronic organized thromboemboli or a primary vasculopathy. The former requires evaluation for surgical intervention, and the latter is treated with advanced medical therapies.
肺动脉高压是用于描述一组以肺动脉压力异常升高为特征的病症的术语。初始评估重点在于确定病因,这有助于指导恰当的治疗。肺动脉高压通常是晚期常见疾病(如慢性阻塞性肺疾病和左心疾病)的一个特征,治疗主要集中于基础疾病。更罕见的是,肺动脉高压由慢性机化性血栓栓塞或原发性血管病引起。前者需要评估是否进行手术干预,后者则采用先进的药物疗法进行治疗。