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目前,国内外尚无完整而实用的肺血管病分类方法,影响肺血管疾病的临床和科研工作的提高。为此,根据我院241例肺血管疾病资料,结合文献,提出新的较完整的肺血管疾病分类法。分为大血管病及小血管病两大类,大血管病又进一步分为先天性的和获得性的两个亚组,小血管病基本沿用Wagenvoort的分类,并加以补充。当前,我国肺血管疾病以肺血栓栓塞症为最多见,其次是致丛性肺血管病;肺血管炎占一定比例,且易误诊,应引起重视。多数肺血管疾病可引起肺动脉高压和肺原性心脏病,因此,研究肺血管疾病对肺原性心脏病的防治具有重要的意义。
At present, there is no complete and practical classification of pulmonary vascular disease at home and abroad, affecting the clinical and scientific research of pulmonary vascular disease. To this end, according to our hospital 241 cases of pulmonary vascular disease data, combined with the literature, put forward a new more complete classification of pulmonary vascular disease. Divided into two major categories of macrovascular disease and small vessel disease, macrovascular disease is further divided into two subgroups of congenital and acquired small vessel disease basically follow Wagenvoort classification, and to be added. Currently, pulmonary thromboembolism is the most common pulmonary vascular disease in our country, followed by plexus-induced pulmonary vascular disease. Pulmonary vasculitis accounts for a certain proportion, and is easily misdiagnosed. Most pulmonary vascular diseases can cause pulmonary hypertension and pulmonary heart disease, therefore, the study of pulmonary vascular disease prevention and treatment of pulmonary heart disease is of great significance.