Division of Gastroenterology and Hepatology, Weill Cornell Medical Center, New York Presbyterian Hospital, 1305 York Avenue, 4th Floor, New York, NY 10021, USA.
Clin Liver Dis. 2011 Feb;15(1):1-20. doi: 10.1016/j.cld.2010.09.010.
The dual blood supply of the liver, originating from the portal vein and the hepatic artery, makes it relatively resistant to minor circulatory disturbances. However, hepatic manifestations of common cardiovascular disorders are frequently encountered in both the inpatient and outpatient setting. Beginning with the macro- and microcirculation of the liver, this article reviews the pathophysiology of hepatic blood flow and gives a detailed appraisal of ischemic hepatitis, congestive hepatopathy, and other less common hepatic conditions that arise when cardiovascular function is impaired.
肝脏的双重血液供应来自门静脉和肝动脉,这使得它对较小的循环障碍具有一定的耐受性。然而,在住院和门诊环境中,常见心血管疾病的肝脏表现经常被遇到。本文从肝脏的宏观和微循环开始,综述了肝血流的病理生理学,并详细评价了当心血管功能受损时出现的缺血性肝炎、充血性肝病和其他较少见的肝脏情况。