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引用本文的文献

1
Pulse oximeter oxygen saturation in prediction of arterial oxygen saturation in liver transplant candidates.脉搏血氧饱和度在预测肝移植候选者动脉血氧饱和度中的应用
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本文引用的文献

1
Cost-effectiveness of screening for hepatopulmonary syndrome in liver transplant candidates.肝移植候选者中肝肺综合征筛查的成本效益
Liver Transpl. 2007 Feb;13(2):206-14. doi: 10.1002/lt.20931.
2
Natural history of hepatopulmonary syndrome: Impact of liver transplantation.肝肺综合征的自然病史：肝移植的影响
Hepatology. 2005 May;41(5):1122-9. doi: 10.1002/hep.20658.
3
Evolution of hypoxemia in patients with severe cirrhosis.重症肝硬化患者低氧血症的演变
J Gastroenterol Hepatol. 2002 Oct;17(10):1106-9. doi: 10.1046/j.1440-1746.2002.02849.x.
4
Oxygenation abnormalities in normoxemic patients with mild liver cirrhosis.轻度肝硬化正常血氧患者的氧合异常
Intern Med. 2002 Jun;41(6):435-40. doi: 10.2169/internalmedicine.41.435.
5
Etiology and frequency of gas exchange abnormalities in cirrhosis.肝硬化中气体交换异常的病因及发生率
Rev Esp Enferm Dig. 1999 Aug;91(8):559-68.
6
Arterial hypoxaemia in cirrhosis: fact or fiction?肝硬化中的动脉低氧血症：事实还是虚构？
Gut. 1998 Jun;42(6):868-74. doi: 10.1136/gut.42.6.868.
7
Hypoxemia in patients with cirrhosis: relationship with liver failure and hemodynamic alterations.肝硬化患者的低氧血症：与肝衰竭及血流动力学改变的关系
J Hepatol. 1997 Sep;27(3):492-5. doi: 10.1016/s0168-8278(97)80353-4.
8
Resolution of gas exchange abnormalities and intrapulmonary shunting following liver transplantation.
Hepatology. 1997 May;25(5):1228-32. doi: 10.1002/hep.510250527.
9
Hepatopulmonary syndrome with progressive hypoxemia as an indication for liver transplantation: case reports and literature review.以进行性低氧血症为指征的肝肺综合征与肝移植：病例报告及文献综述
Mayo Clin Proc. 1997 Jan;72(1):44-53. doi: 10.4065/72.1.44.
10
Improvement in oxygenation after large volume paracentesis.大量腹腔穿刺放液后氧合改善。
South Med J. 1996 Jul;89(7):689-92. doi: 10.1097/00007611-199607000-00008.

拟进行肝移植的肝硬化患者气体交换异常的演变

Evolution of gas exchange abnormalities in patients with liver cirrhosis candidate for liver transplantation.

作者信息

Ghayumi S M A, Mehrabi S, Hoseini Asl M

机构信息

Department of Internal Medicine, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran Red Crescent Med J. 2012 Mar;14(3):171-3. Epub 2012 Mar 1.

PMID:22737574
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3372036/
Abstract

BACKGROUND

Hypoxemia is common in patients with cirrhosis but the natural history of this syndrome is unknown. This study was conducted to evaluate the natural history of arterial oxygenation in patient with end stage liver cirrhosis.

METHODS

Sixty eight patients with liver cirrhosis were followed up for 6-12 months. Arterial blood gas (ABG) and pulse oximetry were obtained on day of presentation and follow up.

RESULTS

There were no significant changes in the oxygen saturation by pulse oximetry (SpO2), partial pressure of oxygen (PaO2) and alveolar arterial oxygen gradient (A-a O2) after 6-12 months. Mean arterial oxygen saturation (SaO2) in 46 patients was 95.42±1.92, and after follow up changed to 95.45±2.96. Thirty eight patients had SaO2 > 94% (mean 96.12±1.08 after 6-12 months changed to 95.66±2.58) ; 8 patients had SaO2 = 94 (mean 92.08±1.44 after 6-12 months changed to 94.46±4.47).

CONCLUSION

There were no significant changes in the SpO2, PaO2 and A-a O2 after 6-12 months.

摘要

背景

低氧血症在肝硬化患者中很常见，但该综合征的自然病程尚不清楚。本研究旨在评估终末期肝硬化患者动脉氧合的自然病程。

方法

对68例肝硬化患者进行了6至12个月的随访。在就诊当天和随访时获取动脉血气（ABG）和脉搏血氧饱和度。

结果

6至12个月后，脉搏血氧饱和度（SpO2）、氧分压（PaO2）和肺泡动脉氧梯度（A-a O2）无显著变化。46例患者的平均动脉血氧饱和度（SaO2）为95.42±1.92，随访后变为95.45±2.96。38例患者的SaO2>94%（6至12个月后平均为96.12±1.08，变为95.66±2.58）；8例患者的SaO2 = 94（6至12个月后平均为92.08±1.44，变为94.46±4.47）。

结论

6至12个月后，SpO2、PaO2和A-a O2无显著变化。