ESRD_肺动脉高压幻灯片资料.ppt

ESRD 肺动脉高压;modified Bernoulli equation:;Systolic PAP=4xTR+RAP;40%血透患者：44±7mmHg(37-65) ;我院血透中心不完全统计;;Table 1. Systolic Pulmonary arterial pressure (PAP) in hemodialysis patients ;PH相关因素;PH与低蛋白血症和贫血相关;;PHA与心输出量和射血分数相关;;PH与心输出量关系;;NO/内皮系统与肺动脉压关系;收缩血管物质 ET-1 所有透析患者，透后高于透前，高于正常对照 HD/PH与HD/NPH没有差异 透前后没有差异;扩血管物质NO2+NO3: 所有透析患者透后升高 HD/PHA透前后均低于非PHA患者;移植前后、A-V瘘闭前后PAP和心输出量的差别;; ESRD取栓 非CKD ESRD未取栓 Number 88 100 117 F/Males 47:41 54:46 59:58 age 56.5 60 54.7 PH 46 (52%) 26 (26%) 49 (42%) Mild 23 (26%) 1(1 %) 29 (25%) Moderate 9 (10%) 5(5%) 1(1 %) Severe 14 (16%) 7(7%) 5(4%) HD:PD 88:0 (100%) 0 30:87 (26%);Cardiovasc Intervent Radiol (2005) 28:17–22;PHA与透析一般情况无关;Hemodialysis International 2006; 10:356–359;Distribution of systolic pulmonary artery pressure according to degree of technetium-99 methylene diphosphonate pulmonary uptake（99mTCMDP肺摄取—肺钙化）;;CASE REVIEW