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肝移植候选者的肺部并发症

Pulmonary Complications in Candidates for Liver Transplantation.

作者信息

Razavi-Khorasani Niloofar, Moazzami Bobak, Dooghaie Moghadam Arash, Eslami Pegah, Farokhi Ermia, Mehrvar Azim, Saeedi Sandra, Iravani Shahrokh, Aghajanpoor Pasha Morteza, Nassiri Toosi Mohssen

机构信息

Liver Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Research Center for Cancer Screening and Epidemiology, AJA University of Medical Sciences, Tehran, Iran.

出版信息

Middle East J Dig Dis. 2020 Jul;12(3):145-153. doi: 10.34172/mejdd.2020.176.

DOI:10.34172/mejdd.2020.176
PMID:33062219
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7548088/
Abstract

The liver plays a pivotal role in maintaining the homeostasis of various organ systems. Also, end-stage liver disease and its complications are major causes of morbidity and mortality among adults. Individuals who develop a chronic liver disease are at increased risk of progression to multi-organ dysfunction, including the pulmonary system. The clinical complications of pulmonary problems related to the presence of liver disease range from mild (such as hypoxemia) to life-threatening diseases (such as portopulmonary hypertension and hepatopulmonary syndrome). Herein, the major pulmonary complications related to liver cirrhosis and considerations for performing liver transplantation are reviewed.

摘要

肝脏在维持各器官系统的内环境稳定中起着关键作用。此外,终末期肝病及其并发症是成年人发病和死亡的主要原因。患有慢性肝病的个体进展为多器官功能障碍(包括肺系统)的风险增加。与肝病相关的肺部问题的临床并发症范围从轻度(如低氧血症)到危及生命的疾病(如门肺高压和肝肺综合征)。本文综述了与肝硬化相关的主要肺部并发症以及肝移植的注意事项。

相似文献

1
Pulmonary Complications in Candidates for Liver Transplantation.肝移植候选者的肺部并发症
Middle East J Dig Dis. 2020 Jul;12(3):145-153. doi: 10.34172/mejdd.2020.176.
2
Respiratory dysfunction and pulmonary disease in cirrhosis and other hepatic disorders.肝硬化及其他肝脏疾病中的呼吸功能障碍与肺部疾病
Respir Care. 2007 Aug;52(8):1030-6.
3
Pulmonary contraindications, indications and MELD exceptions for liver transplantation: a contemporary view and look forward.肺移植的禁忌证、适应证和 MELD 例外:当代观点与展望。
J Hepatol. 2013 Aug;59(2):367-74. doi: 10.1016/j.jhep.2013.03.026. Epub 2013 Apr 1.
4
Hepatopulmonary syndrome and portopulmonary hypertension: recent knowledge in pathogenesis and overview of clinical assessment.肝肺综合征与门肺高压:发病机制的最新认识及临床评估概述
Liver Int. 2015 Jun;35(6):1646-60. doi: 10.1111/liv.12791. Epub 2015 Feb 16.
5
Hepatopulmonary syndrome and portopulmonary hypertension.肝肺综合征和门肺高血压。
Hepatol Res. 2009 Oct;39(10):1020-2. doi: 10.1111/j.1872-034X.2009.00552.x.
6
Hepatopulmonary Syndrome and Portopulmonary Hypertension: Implications for Liver Transplantation.肝肺综合征和门肺高血压:对肝移植的影响。
Clin Chest Med. 2017 Dec;38(4):785-795. doi: 10.1016/j.ccm.2017.08.002. Epub 2017 Sep 23.
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Pulmonary complications of cirrhosis.肝硬化的肺部并发症
Med Clin North Am. 2009 Jul;93(4):871-83, viii. doi: 10.1016/j.mcna.2009.03.006.
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Severe portopulmonary hypertension after liver transplantation in a patient with preexisting hepatopulmonary syndrome.一名患有既往肝肺综合征的患者在肝移植后出现严重的门肺高压。
J Hepatol. 1999 Dec;31(6):1075-9. doi: 10.1016/s0168-8278(99)80321-3.
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Hepatopulmonary syndrome and portopulmonary hypertension in the model for end-stage liver disease (MELD) era.终末期肝病模型(MELD)时代的肝肺综合征和门肺高压
Liver Transpl. 2004 Oct;10(10 Suppl 2):S54-8. doi: 10.1002/lt.20260.
10
Respiratory failure and hypoxemia in the cirrhotic patient including hepatopulmonary syndrome.肝硬化患者的呼吸衰竭和低氧血症,包括肝肺综合征。
Curr Opin Anaesthesiol. 2010 Apr;23(2):133-8. doi: 10.1097/ACO.0b013e328335f024.

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Expert consensus on liver transplantation perioperative evaluation and rehabilitation for acute-on-chronic liver failure.急性慢性肝衰竭肝移植围手术期评估与康复专家共识
Liver Res. 2022 Aug 18;6(3):121-129. doi: 10.1016/j.livres.2022.08.002. eCollection 2022 Sep.
2
An Overview of the Current Hepatitis B Treatment Strategies after Liver Transplantation.肝移植后当前乙肝治疗策略概述
Middle East J Dig Dis. 2021 Jan;13(1):5-14. doi: 10.34172/mejdd.2021.197. Epub 2021 Mar 2.

本文引用的文献

1
Symptom prevalence and quality of life of patients with end-stage liver disease: A systematic review and meta-analysis.终末期肝病患者的症状患病率和生活质量:系统评价和荟萃分析。
Palliat Med. 2019 Jan;33(1):24-36. doi: 10.1177/0269216318807051. Epub 2018 Oct 22.
2
Spontaneous bacterial empyema: an elusive diagnosis in a patient with cirrhosis.自发性细菌性脓胸:肝硬化患者的一种难以捉摸的诊断。
BMJ Case Rep. 2018 Aug 29;2018:bcr-2018-224810. doi: 10.1136/bcr-2018-224810.
3
Hepatopulmonary syndrome.肝肺综合征
J Hepatol. 2018 Sep;69(3):744-745. doi: 10.1016/j.jhep.2018.01.002. Epub 2018 Jun 28.
4
Review article: Update on current and emergent data on hepatopulmonary syndrome.综述文章:有关肝肺综合征的当前和新兴数据的更新。
World J Gastroenterol. 2018 Mar 28;24(12):1285-1298. doi: 10.3748/wjg.v24.i12.1285.
5
Hepatic hydrothorax: An update and review of the literature.肝性胸水:文献综述与更新
World J Hepatol. 2017 Nov 8;9(31):1197-1204. doi: 10.4254/wjh.v9.i31.1197.
6
Hepatopulmonary Syndrome and Portopulmonary Hypertension: Implications for Liver Transplantation.肝肺综合征和门肺高血压:对肝移植的影响。
Clin Chest Med. 2017 Dec;38(4):785-795. doi: 10.1016/j.ccm.2017.08.002. Epub 2017 Sep 23.
7
Extrahepatic Autoimmune Diseases in Patients with Autoimmune Liver Diseases: A Phenomenon Neglected by Gastroenterologists.自身免疫性肝病患者的肝外自身免疫性疾病:胃肠病学家忽视的一种现象
Gastroenterol Res Pract. 2017;2017:2376231. doi: 10.1155/2017/2376231. Epub 2017 Jan 16.
8
Recent advances in understanding and managing liver transplantation.肝脏移植理解与管理的最新进展
F1000Res. 2016 Dec 21;5. doi: 10.12688/f1000research.8768.1. eCollection 2016.
9
Cirrhosis and autoimmune liver disease: Current understanding.肝硬化与自身免疫性肝病:当前认识
World J Hepatol. 2016 Oct 8;8(28):1157-1168. doi: 10.4254/wjh.v8.i28.1157.
10
Hepatic hydrothorax: clinical review and update on consensus guidelines.肝性胸水:临床综述与共识指南更新
Hosp Pract (1995). 2016 Oct;44(4):213-223. doi: 10.1080/21548331.2016.1227685. Epub 2016 Sep 8.