肺动脉高压的分类及诊断ppt课件.pptVIP

Forms-PHD/Powerpoint-PH/ACC 2002-VM.ppt Badesch et al CHEST 2004;126:35S-62S PAH的治疗 功能分级 II/III/IV (1) 一般治疗 口服抗凝药 [B for IPAH, E/C for other PAH] + diuretics + oxygen [E/A] + digoxin 急性血管反应试验 [A for IPAH, E/C for other PAH] (2) No improvementor deterioration Atrioseptostomy +Lung Transplantation PDE-5 Inhibitors (Sildenafil) [C] Functional Class IV (4) Chronic IV Epoprostenol [A] Bosentan [B] Treprostinil [B] Chronic IV Iloprost [C] Oral CCB [B for IPAH, E/B for other PAH] Continue CCB Sustained Response (3) Positive Yes No Negative 血管内皮受体拮抗剂 (波生坦 ) [A] or 长期静脉注射依前列醇 [A] or 类前列腺素 SQ Tr