Progress on the treatment and clinical application of inhaled nitric oxide in adults
丁悦加 1贾建伟 1葛慧青 1段思琦
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作者信息
1. 浙江大学医学院附属邵逸夫医院呼吸治疗科，杭州 310016
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摘要
一氧化氮是血管内皮细胞产生的天然血管扩张因子。目前吸入性一氧化氮(iNO)已获批用于新生儿持续性肺动脉高压治疗，而对于成人患者，iNO治疗已在右心导管术期间急性肺血管反应试验中被证实有明确作用。近年来随着对iNO研究的深入，更多的疾病能从iNO治疗中获益。本文就iNO的作用机制及其相关临床应用进展作一综述，以进一步加深对iNO的生理效应及其在成人中临床应用效果的了解。 Nitric oxide is a natural vasodilator produced by vascular endothelial cells.Inhaled nitric oxide (iNO) is currently approved for the treatment of persistent pulmonary hypertension of the newborn.In adults, iNO therapy has been validated for its definite efficacy on acute pulmonary vascular response testing during right heart catheterization.In recent years, with the deepening of iNO research, iNO therapy has been able to benefit various diseases.This article reviewes the mechanism of iNO and its related clinical applications, thus further deepening the understanding of its physiological effects of iNO and clinical application in adults.
Abstract
Nitric oxide is a natural vasodilator produced by vascular endothelial cells.Inhaled nitric oxide (iNO) is currently approved for the treatment of persistent pulmonary hypertension of the newborn.In adults, iNO therapy has been validated for its definite efficacy on acute pulmonary vascular response testing during right heart catheterization.In recent years, with the deepening of iNO research, iNO therapy has been able to benefit various diseases.This article reviewes the mechanism of iNO and its related clinical applications, thus further deepening the understanding of its physiological effects of iNO and clinical application in adults.
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