Pulmonary Complications of Sickle Cell Disease

被引:110
|
作者
Miller, Andrew C. [1 ,3 ]
Gladwin, Mark T. [1 ,2 ]
机构
[1] Univ Pittsburgh, Med Ctr, Div Pulm Allergy & Crit Care Med, Dept Med, Pittsburgh, PA 15213 USA
[2] Univ Pittsburgh, Med Ctr, Vasc Med Inst, Pittsburgh, PA 15213 USA
[3] NIH, Dept Crit Care Med, Ctr Clin, Bethesda, MD 20892 USA
基金
美国国家卫生研究院;
关键词
sickle cell disease; hemolytic anemia; pulmonary hypertension; sudden death; nitric oxide; ACUTE CHEST SYNDROME; THALASSEMIA MAJOR PATIENTS; NITRIC-OXIDE; ARTERIAL-HYPERTENSION; HEMOLYTIC-ANEMIA; INCREASED RISK; HEART-DISEASE; CHILDREN; ASTHMA; PAIN;
D O I
10.1164/rccm.201111-2082CI
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Sickle cell disease (SCD) is a common monogenetic disorder with high associated morbidity and mortality. The pulmonary complications of SCD are of particular importance, as acute chest syndrome and pulmonary hypertension have the highest associated mortality rates within this population. This article reviews the pathophysiology, diagnosis, and treatment of clinically significant pulmonary manifestations of SCD, including acute chest syndrome, asthma, and pulmonary hypertension in adult and pediatric patients. Clinicians should be vigilant in screening and treating such comorbidities to improve patient outcomes.
引用
收藏
页码:1154 / 1165
页数:12
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