Seibert R, Quoix E, Lallot C, Petitjean R, Vandevenne A, Burghard G
Hôpital Saint-François, Service de Pneumologie, CHU de Strasbourg.
Rev Pneumol Clin. 1987;43(5):258-61.
The authors report a case of hypoxia in a non-smoking cirrhotic patient. The pathophysiological hypotheses proposed to date to explain this hypoxia without pulmonary artery hypertension, but accompanied by disturbances of carbon monoxide transport, reveal a common element which is difficult to diagnose and quantify: intra-pulmonary shunts. The authors consider gamma-angiocardiography to be a simple diagnostic procedure.
作者报告了一例非吸烟肝硬化患者发生低氧血症的病例。迄今为止提出的用于解释这种无肺动脉高压但伴有一氧化碳转运障碍的低氧血症的病理生理假说,揭示了一个难以诊断和量化的共同因素:肺内分流。作者认为γ-心血管造影术是一种简单的诊断方法。