Continue the taking place lung artery and diagnose and treat _'s treatment under high pressure
Diagnose the basis
It is primary for lung artery high pressure must in except can last diagnosis behind not causing by lung artery the causes of disease of the high pressure various.
Continue person who send the intersection of lung and artery have lung send disease in addition, the intersection of lung and the intersection of artery and laboratory evidence of high pressure originally, can be diagnosed under high pressure.
Treat the principle
Because the cause of disease of the primary lung artery high pressure is not clear, treat and is directed primarily to the blood vessel shrinks, the inner membrane is damaged, thrombosis and heart function not congruent respect go on, aim at resuming lung vascular tension, resistance and pressure, improve the heart function, increase the discharging amount of heart, improve life quality.
1.Vasodilation medicine: Calcium antagonist calcium antagonist is only effective to about 20% of the PPH patients, it is usually relatively large to use the dosage, such as nitre benzene flat 270mg/d, pay special attention to the bad reaction of the medicine while employing. Forefront ring plain forefront ring plain to have strong easy the intersection of blood vessel and function and inhibit the function that the blood platelet gathers to artery, vein, can improve movement ability and blood flow dynamics state. But forefront ring very short in plain a half-life, must the lasting vein is infused, clinical practice very loud to limit, common bad reaction. Nitrous oxides (NO) Suck the intersection of people and N0, it sucks people to be whether a expand the intersection of lung and artery without therapeutic method to act on systemic circulation selectively only. But because the function time of N0 is short, adds the toxic question of other source N0, thus was limited it and faced the use in bed.
2.Anticoagulatory treatment: The anticoagulatory treatment can not improve the patient's symptom, but can delay the process of disease in some aspects, thus improve the patient's prognosis. Hua France is regarded as first-selected anticoagulant forest.
3.Other: As presenting the right heart depletedly, at the time of liver blood stasis and ascites, can treat with diuresis medicine. Use digoxin, oppose calcium and resist the bad reaction that pharmaceutical causes myocardium contractile force to reduce short of moneyly.
4.Disease can competent lung or heart and lungs transplant treat in later period.
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