【2017年整理】肺动脉高压与右心导管检查.ppt

持续阳性标准 初查试验阳性的患者在口服钙通道阻滞剂治疗一年后，复查仍为阳性； 心功能稳定在Ⅰ-Ⅱ级； 血流动力学指标达到或接近正常； 只有持续阳性的患者，才能确实可靠的从长期钙通道阻滞剂治疗中获益； 持续阳性的患者比例更低，只有初次阳性患者的一半左右。 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 阳性率 Lee SH et al. J Intern Med 2005; 258: 199-215. Sitbon O, et al. Circulation 2005; 111: 3105-3111. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. ACCF/AHA推荐常用药物 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. ESC推荐常用药物 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 中国专家共识推荐药物 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺动脉造影 1929年，Forssmann 第一例心导管术 1939年，Robb GP 第一例心脏造影术 1964年，Sasahara 第一例肺动脉造影术 1. Forssmann W. 1929; 8:2085–7. 2. Robb GP, et al. Am J Roentgenol Radium Ther 1939; 41:1–17. 3. Bolt, W. Verh. dtsch. Ges Kress-Schweiz. Z. Tuberk. 1951;8:380–92. Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺动脉造影适应征 疑诊急慢性肺栓塞 疑诊肺血管炎 疑诊其他肺血管病变 肺动脉取栓术或内膜剥脱术术前评估 明确肺动脉血流灌注情况 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺动脉造影相对禁忌征 妊娠妇女 造影剂过敏 凝血功能障碍 严重肾功能不全 严重心衰而无法平卧患者 心内膜炎 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 右心导管肺动脉造影设备 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 肺动脉造影导管 5～6F猪尾导管 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. 手术过程 Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile 5.2.0.0. Copyright 2004-2011 Aspose Pty Ltd. Evaluation only. Created with Aspose.Slides