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每日一医学小知识68肺动脉高压如何

可分为五大类,具体见下图:

表1肺动脉高压Danapoint分类

Tab.1Danapointclassificationofpulmonaryhypertension

1.动脉性肺动脉高压(Pulmonaryarterialhypertension,PAH)

1.1特发性PAH(IdiopathicPAH,IPAH)

1.2遗传性PAH(HeritablePAH)

1.2.1BMPR2

1.2.2ALK1,Endoglin

1.2.3未知原因(Unknown)

1.3药物和毒素所致(Drugandtoxininduced)

1.4相关(Associatedwith)

1.4.1胶原组织疾病(Collagetissuediseases)

1.4.2HIV感染(HIVinfection)

1.4.3门脉高压性(Portalhypertension)

1.4.4先天性心脏病(Congenitalheartdisease)

1.4.5血吸虫病(Schistosomiasis)

1.4.6慢性溶血性贫血(Chronichaemolyticanameia)

1.5和静脉或毛细血管相关(Associatedwithsignificantvenousorcapillaryinvolvement)

1.5.1肺静脉闭塞疾病(Pulmonaryveno-occlusiondisease)

1.5.2肺毛细血管血管瘤(Pulmonarycapillaryhemangiomatosis)

1.6新生儿持续性肺动脉高压(Persistentpulmonaryhypertensionofthenewborn)

2.左心功能不全继发的PH(静脉性肺动脉高压)(Pulmonaryhypertensionwithleftheartdisease)

2.1左心收缩功能不全(HFrEF,leftventricularsystolicdysfunctionheartfailurewithreducedEF)

2.2左心舒张功能不全(HFpEF,leftventriculardiastolicdysfunctionheartfailurewithpreservedEF)

2.3左心瓣膜性心脏病(left-sidedvalvularheartdisease)

3.肺疾病/低氧血症相关性肺动脉高压(pulmonaryhypertensionassociatedwithlungdiseaseorhypoxemiaorboth)

3.1慢性阻塞性肺疾病(Chronicobtrusivepulmonarydisease)

3.2间质性肺疾病(Interstitiallungdisease)

3.3限制性或阻塞形式的其他肺疾病(Otherpulmonarydiseasewithmixedrestrictiveandobstructivepattern)

3.4呼吸睡眠障碍(Sleepdisorderedbreathing)

3.5肺泡低通气障碍(Alveolarhypoventilationdisorders)

3.6慢性高原反应(Chronicexposuretohighaltitude)

3.7发育异常(Developmentalabnormalities)

4.慢性血栓或(和)栓塞性肺动脉高压(Pulmonaryhypertensionduetochronicthromboticorembolicdiseaseorboth,CTEPH)

5.其他不明原因多因素的肺动脉高压(Pulmonaryhypertensionwithunclearmultifactorialmechanisms)

5.1血液病(Hematologicdisorders)

5.2系统性疾病(Systemicdisorders)

5.3代谢性疾病(Metabolicdisorders)

5.4其他(Others)

每日一医学小知识,欢迎!

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