Scott-Herridge Joel, Bhagirath Kapil, Janda Surinder, Jassal Davinder S
Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada.
Department of Internal Medicine, University of British Columbia, Surrey, BC, Canada.
Case Rep Cardiol. 2016;2016:9029606. doi: 10.1155/2016/9029606. Epub 2016 Aug 31.
In the vast majority of cases, ongoing hypoxemia in a cirrhotic patient is usually hepatopulmonary syndrome (HPS) until proven otherwise; in this case, HPS was suspected prior to any known diagnosis of cirrhosis. This is the first reported case in the literature whereby HPS and cirrhosis were diagnosed after the fact, rather than with the preexisting knowledge of liver cirrhosis.
在绝大多数情况下,肝硬化患者持续存在的低氧血症通常为肝肺综合征(HPS),除非另有证实;在此病例中,在任何已知的肝硬化诊断之前就怀疑有HPS。这是文献中首次报道的病例,即事后诊断出HPS和肝硬化,而非事先已知肝硬化情况。