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儿童胃肠胰和肝脏疾病的肺部表现。

Pulmonary Manifestations of Gastrointestinal, Pancreatic, and Liver Diseases in Children.

机构信息

Department of Respiratory Medicine, The Children's Hospital at Westmead, Locked Bag 4001, Westmead, New South Wales 2145, Australia.

Department of Gastroenterology and Clinical Nutrition, The Royal Children's Hospital, 50 Flemington Road, Parkville, Victoria 3052, Australia.

出版信息

Pediatr Clin North Am. 2021 Feb;68(1):41-60. doi: 10.1016/j.pcl.2020.09.002.

Abstract

Pulmonary manifestations of gastrointestinal (GI) diseases are often subtle, and underlying disease may precede overt symptoms. A high index of suspicion and a low threshold for consultation with a pediatric pulmonologist is warranted in common GI conditions. This article outlines the pulmonary manifestations of different GI, pancreatic, and liver diseases in children, including gastroesophageal reflux disease, inflammatory bowel disease, pancreatitis, alpha1-antitrypsin deficiency, nonalcoholic fatty liver disease, and complications of chronic liver disease (hepatopulmonary syndrome and portopulmonary hypertension).

摘要

胃肠道(GI)疾病的肺部表现通常较为隐匿,潜在疾病可能先于明显症状出现。在常见的 GI 疾病中,需要高度怀疑并降低咨询儿科肺病专家的门槛。本文概述了不同胃肠道、胰腺和肝脏疾病在儿童中的肺部表现,包括胃食管反流病、炎症性肠病、胰腺炎、α1-抗胰蛋白酶缺乏症、非酒精性脂肪肝疾病以及慢性肝病的并发症(肝肺综合征和门肺高血压)。

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