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慢性阻塞性肺疾患(COPD)由于家庭氧疗法的普及、内科治疗和呼吸器的进步已能长期生存,但因反复呼吸道感染导致不可逆性的肺实质损害逐渐加重,不少患者最终发生呼吸和右心衰竭。这就需要准确掌握病情尚未进入肺心病之前是否存在肺高血压症。理想的方法是直接用右心导管测肺动脉压和右室舒张末压,能进行此种检查的单位很少,并且COPD高龄者多,不能进行多次测定。因而,最好是用一般的临床检查结果来推断是否存在肺高血压症。作者对60例(男51例女9例),年龄21～83岁,平均年龄61岁
Chronic Obstructive Pulmonary Disease (COPD) Due to the popularity of home oxygen therapy, medical treatment and respirator progress have long-term survival, but due to repeated respiratory infections lead to irreversible pulmonary parenchymal damage gradually increased, and many patients eventually breathe and right heart failure. This requires an accurate grasp of the condition before entering the pulmonary heart disease whether there is pulmonary hypertension. The ideal method is to directly measure the pulmonary artery pressure and right ventricular end-diastolic pressure using the right heart catheterization. There are few units that can perform this type of examination and many elderly people with COPD can not perform multiple determinations. Therefore, it is best to use general clinical findings to infer the existence of pulmonary hypertension. The author of 60 cases (51 males and 51 females), aged 21 to 83 years, mean age 61 years