Oh Y W, Kang E Y, Lee N J, Suh W H, Godwin J D
Department of Diagnostic Radiology, Korea University College of Medicine, Seoul, South Korea.
J Comput Assist Tomogr. 2000 Sep-Oct;24(5):699-705. doi: 10.1097/00004728-200009000-00006.
Advanced liver disease and portal hypertension may produce various intrathoracic complications that involve the pleural space, lung parenchyma, and pulmonary circulation. Dyspnea and arterial hypoxemia are the common clinical symptoms and signs in patients with such complications. In these patients, intrathoracic complications most often develop during the course of hepatic disease, but a few patients may be seen first with respiratory symptoms or radiographic abnormalities. Therefore, radiologists should be made aware of these disorders that occur in patients with chronic liver disease. In this article, the authors describe and illustrate the clinical and imaging spectrum of thoracic abnormalities associated with advanced liver disease and portal hypertension.
晚期肝病和门静脉高压可能会引发各种胸腔内并发症，累及胸膜腔、肺实质和肺循环。呼吸困难和动脉血氧不足是这类并发症患者常见的临床症状和体征。在这些患者中，胸腔内并发症大多在肝病病程中出现，但少数患者可能首先表现为呼吸道症状或影像学异常。因此，放射科医生应了解慢性肝病患者中出现的这些病症。在本文中，作者描述并展示了与晚期肝病和门静脉高压相关的胸部异常的临床和影像表现。
