Pulmonary Hypertension in12Cases Clinical Analysis |
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Author | YueLei |
Tutor | ZhangZhongHe |
School | Dalian Medical University |
Course | Internal Medicine |
Keywords | PH Echocardiography Right heart catheterization |
CLC | R544.1 |
Type | Master's thesis |
Year | 2012 |
Downloads | 40 |
Quotes | 0 |
Objective: This paper through to12cases were diagnosed as pulmonaryhypertension patients for clinical data are analyzed and summarized, aiming atimproving the understanding of the disease and to explore the effective diagnosismethods provide some help.Methods: Retrospective analysis method, analysis in all of the patient’s history,including the clinical symptoms, signs, diagnose time, or had a misdiagnosis andmisdiagnosis disease species; Analysis in patients with all echocardiographyestimates pulmonary artery systolic pressure (PASP) and check the measuring PASPright heart catheterization of correlation.Results: Pulmonary hypertension clinical characteristic:100%dyspnea,66.66%chest tightness,50%patients with chest pain,25%patients withsyncope.Echocardiography and right heart catheterization check the measuring of thePASP were (83.5024.76) mmHg and (79.0823.35) mmHg, Pearson correlationanalysis showed the two check method of source PASP no relevant (r=0.250, P=0.433).Conclusion:1.Common and first symptom of pulmonary hypertension are dyspnea andchest tightness.Patients who have dyspnea and chest tightness should increasevigilance for pulmonary hypertension.2.Echocardiography to estimate pulmonary artery systolic pressure is notaccurate, not a substitute for right heart catheterization.