Hepatopulmonary Syndrome: A Brief Review

被引:0
作者
Amin, Zulkifli [1 ]
Amin, Hilman Zulkifli [2 ]
Tedyanto, Nadim Marchian [3 ]
机构
[1] Univ Indonesia, Fac Med, Dept Internal Med, Div Respirol & Crit Care, Salemba Raya St 6, Jakarta 10430, Indonesia
[2] Univ Indonesia, Fac Med, Dept Internal Med, Jakarta, Indonesia
[3] Univ Indonesia, Fac Med, Jakarta, Indonesia
关键词
Hepatopulmonary syndrome; liver cirrhosis; liver disease; lung disease; portal hypertension;
D O I
10.1515/rjim-2016-0015
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Hepatopulmonary syndrome (HPS) is a pulmonary complication of liver disease characterized by arterial hypoxemia. Mechanisms related to this event are diffusion-perfusion flaw, ventilationperfusion (V/Q) mismatch, and direct arteriovenous shunts. Diagnosis of HPS is based on the presence of liver disease or portal hypertension, increased alveolar-arterial (A-a) PO2, and intrapulmonary vascular dilatations (IPVD). Lung transplantation (LT) remains the most effective therapy for HPS. In spite of its poor prognosis, we could improve the quality of life and survival rate of patients.
引用
收藏
页码:93 / 97
页数:5
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