《中国肺动脉高压诊断与治疗指南(2021版)》解读——动脉性肺动脉高压的治疗

2022-03-01 中国医学科学院阜外医院心内科 中国实用内科杂志

动脉性肺动脉高压(PAH)为恶性进展性疾病。随着PAH靶向药物的广泛应用,患者预后较前明显改善。在肺动脉高压中心确诊的PAH初始治疗患者,建议其接受一般治疗及支持治疗。其中,对于特发性PAH、药物相关

中文标题:

《中国肺动脉高压诊断与治疗指南(2021版)》解读——动脉性肺动脉高压的治疗

发布日期:

2022-03-01

简要介绍:

动脉性肺动脉高压(PAH)为恶性进展性疾病。随着PAH靶向药物的广泛应用,患者预后较前明显改善。在肺动脉高压中心确诊的PAH初始治疗患者,建议其接受一般治疗及支持治疗。其中,对于特发性PAH、药物相关性PAH和遗传性PAH患者应进行急性血管反应试验,评估应用钙通道阻滞剂治疗。急性血管反应试验阴性的PAH患者建议应用初始靶向药物联合治疗,高危患者建议联合静脉前列环素类药物。治疗3~6个月进行随访评估,若为低危状态应继续治疗并规律随访;若为中危状态,推荐联合使用靶向药物;若为高危状态,建议使用包括静脉注射前列环素类药物的联合治疗方案,并进行肺移植评估。 

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    2022-12-12 pengweily 来自北京

    非常好

    0

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    2022-04-26 su_yi_fei

    学习

    0

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    2022-04-20 ms8000000410919385

    学习

    0

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    2022-04-04 曹玉芝

    受益

    0

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    2022-04-04 3059321_3399

    学习

    0