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篇名 慢性血栓栓塞性肺高壓的診斷與治療
卷期 28:3
並列篇名 Chronic Thromboembolic Pulmonary Hypertension: Diagnosis and Treatment
作者 吳書豪吳懿哲
頁次 140-147
關鍵字 慢性血栓栓塞性肺高壓肺動脈內膜切除術肺動脈氣球血管成形術ScopusTSCI
出刊日期 201706
DOI 10.6314/JIMT.2017.28(3).04

中文摘要

慢性血栓栓塞性肺高壓是一種可能被治癒的肺高壓疾病。現今,我們有各種的影像工具 來幫助我們確立診斷與協助治療,如肺部灌流/ 通氣掃描、電腦斷層、核磁共振、侵入性血 管攝影、或以結合多種工具的方式來進行等。肺動脈內膜切除術目前為治療的首選。然而針 對無法開刀、持續或復發肺高壓的病人,可以考慮接受有限度的肺動脈氣球血管成形術。其 他藥物的治療及復健也是相當重要的。

英文摘要

Chronic thromboembolic pulmonary hypertension (CTEPH) is one of the potentially curable causes of pulmonary hypertension. Nowadays, we have various imaging modalities to be helpful for not only diagnosis but also procedure guidance. They include ventilation-perfusion scan, computed tomography, magnetic resonance imaging, invasive angiography, or combination ones. Pulmonary endarterectomy was recommended as class I indication by guidelines. For patients with inoperable/persistent/recurrent CTEPH, a careful approach with “refined” balloon pulmonary angioplasty was proposed to reduce complications. In addition, medication and rehabilitation are also important.

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