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| Medical record review of 1 case of idiopathic pulmonary arterial hypertension and literature review |
| FENG Mei FU Xiaomin ZHU Jing CHEN Lei▲ |
| Department of Respiratory and Critical Care Medicine, West China Hospital of Sichuan University, Sichuan Province, Chengdu 610041, China |
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Abstract The diagnosis and treatment process of a patient with idiopathic pulmonary arterial hypertension who was repeatedly hospitalized in the Department of Respiratory and Critical Care Medicine of West China Hospital of Sichuan University (“our hospital” for short) from October 2013 to June 2016 was retrospectively analyzed, and the treatment and nursing experience of pulmonary arterial hypertension was summarized. The patient was a young female, who had chest tightness after the activity, for more than 3 years, aggravated with syncope and sought treatment in our hospital. The patient was diagnosed as severe pulmonary hypertension by right cardiac catheterization, through cardiac strengthening, diuresis and targeted treatment. After treatment, the patient′s condition improved and was discharged. Because the patient was diagnosed as severe pulmonary arterial hypertension at the first time in our hospital, the best time for treatment has been missed, resulting in repeated aggravation of hospitalization. Pulmonary arterial hypertension as a rare disease, there are relatively few clinical cases, and the medical staff in primary hospitals have a serious lack of understanding of this disease and grasp of the key points of treatment and nursing, leading to missed diagnosis or misdiagnosis of the disease and delayed treatment opportunity. This paper reviews the diagnosis, treatment and nursing progress of pulmonary arterial hypertension through case review and literature review. It is expected to provide reference and guidance for the future clinical treatment of pulmonary arterial hypertension.
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