全可利
呼吸困难是肺动脉高压的主诉症状 (PAH)
诊断经常被延误或忽略
PAH无特异性症状,在硬皮病等其它疾病中也普遍存在1,2
肺动脉高压的临床定义
静息状态下平均肺动脉压>25 mm Hg或者活动状态下>30 mm Hg,3 肺毛细血管楔压正常4
WHO指南建议每年对所有硬皮病患者用超声心动图进行PAH筛查5
1.
Seibold JR. Scleroderma. In: Kelley WN, Harris ED Jr, Ruddy S, Sledge CB, eds. Textbook of Rheumatology. 2 vols. 5th ed. Philadelphia, PA: WB Saunders Co; 1997:1133–1162.
2.
Nauser TD, Stites SW. Diagnosis and treatment of pulmonary hypertension. Am Fam Physician. 2001;63:1789–1798.
3.
Gaine SP, Rubin LJ. Primary pulmonary hypertension. Lancet. 1998;352:719–725.
4.
Rubin LJ. Primary pulmonary hypertension. N Engl J Med. 1997;336:111–117.
5.
Rich S, ed. Primary pulmonary hypertension: executive summary. World Symposium—Primary Pulmonary Hypertension 1998. Evian, France; September 6–10, 1998.