肝肺综合征中的平卧呼吸和直立性低氧血症

Platypnoea and orthodeoxia in the hepatopulmonary syndrome.

作者信息

Surridge Anna, Atkinson Jane, Aujayeb Avinash

机构信息

Acute Medicine Department, Northumbria Healthcare NHS Foundation Trust, Newcastle Upon Tyne, UK.

Acute Medicine Department, Northumbria Healthcare NHS Foundation Trust, Newcastle Upon Tyne, UK

出版信息

BMJ Case Rep. 2019 Nov 26;12(11):e231499. doi: 10.1136/bcr-2019-231499.

DOI:10.1136/bcr-2019-231499

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6887442/

Abstract

A 71-year-old female patient with alcohol-induced cirrhosis presented with symptoms of dyspnoea. Previous extensive investigations had detected no apparent cause. Platypnoea and orthodeoxia were observed. A bubble echocardiogram revealed significant intracardiac shunting and a diagnosis of hepatopulmonary syndrome was made. The patient was discharged on home oxygen and referred for liver transplantation.

摘要

一名71岁酒精性肝硬化女性患者出现呼吸困难症状。此前的广泛检查未发现明显病因。观察到平卧呼吸和直立性低氧血症。气泡超声心动图显示显著的心内分流，诊断为肝肺综合征。患者出院时携带家庭用氧，并被转诊进行肝移植。

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