Fiel M I, Schiano T D, Suriawinata A, Emre S
Lillian and Henry M. Stratton-Hans Popper Department of Pathology, Mount Sinai School of Medicine, City University of New York, New York, USA.
Semin Liver Dis. 2000;20(3):391-5. doi: 10.1055/s-2000-9392.
A 55-year-old Turkish man with a history of chronic hepatitis B for 35 years, presented with incapacitating fatigue and worsening shortness of breath. He was hospitalized several times because of hepatic encephalopathy. He underwent liver transplantation for a clinical diagnosis of Child's C cirrhosis complicated by hepatopulmonary syndrome. The explanted liver, however, was not cirrhotic and demonstrated features of hepatoportal sclerosis. Although treatment for hepatoportal sclerosis is relief of portal hypertension; in rare cases such as in this patient with liver failure, liver transplantation is indicated.
一名55岁的土耳其男子，有35年慢性乙型肝炎病史，出现使人衰弱的疲劳和进行性加重的呼吸急促。他因肝性脑病多次住院。他因临床诊断为Child's C级肝硬化合并肝肺综合征而接受了肝移植。然而，切除的肝脏并无肝硬化表现，而是呈现出门静脉硬化的特征。虽然门静脉硬化的治疗是缓解门静脉高压；但在罕见情况下，如该例肝功能衰竭患者，肝移植是必要的。
