慢性血栓栓塞性肺动脉高压外科治疗的现状与进展

摘要

Chronic thromboembolic pulmonary hypertension is characterized by intraluminal thrombus organization, fibrous stenosis and vascular remodeling of pulmonary vessels which can finally result in pulmonary vascular resistance and therefore right heart failure. Pulmonary thromboembolic endarterectomy is one of the definitive treatments for chronic thromboembolic pulmonary hypertension. This article summarizes the current status in the surgical treatment of patients with chronic thromboembolic pulmonary hypertension.%慢性血栓栓塞性肺动脉高压是肺血管腔内血栓机化、纤维化增生和血管重构所引起的一种预后较差的疾病，可最终导致肺血管阻力进行性升高和右心功能衰竭。肺动脉内膜剥脱术已成为慢性血栓栓塞性肺动脉高压的有效治疗方法之一。本文就慢性血栓栓塞性肺动脉高压的外科治疗现状作一概要介绍。