Department of Anaesthetics, Royal Free Hospital, Hampstead, London, UK.
Int J Obstet Anesth. 2011 Apr;20(2):169-73. doi: 10.1016/j.ijoa.2010.09.013. Epub 2010 Dec 18.
Hepatopulmonary syndrome is characterised by hypoxaemia and intrapulmonary shunting in the presence of portal hypertension. It is uncommon in the obstetric population but may occur in patients with Budd-Chiari syndrome in the absence of severe liver dysfunction. We discuss the management of a primigravida with Budd-Chiari syndrome and persistent hepatopulmonary syndrome post liver transplantation. A literature review revealed only one report of a successful pregnancy in association with hepatopulmonary syndrome. We discuss its recognition in patients with liver disease and anaesthetic considerations in its presence.
肝肺综合征的特征是存在门静脉高压时出现低氧血症和肺内分流。在产科人群中并不常见，但在没有严重肝功能障碍的情况下，可能发生在布加综合征患者中。我们讨论了一位初产妇在肝移植后患有布加综合征和持续性肝肺综合征的管理。文献复习仅发现一篇关于肝肺综合征成功妊娠的报告。我们讨论了在存在肝肺综合征的情况下，其在肝病患者中的识别和麻醉注意事项。
