Kennedy T C, Knudson R J
Chest. 1977 Sep;72(3):305-9. doi: 10.1378/chest.72.3.305.
A syndrome characterized by hypoxemia aggravated by exercise, orthodeoxia, hypocapnia, and evidence of hyperdynamic circulation, but otherwise normal indices of pulmonary air flow, volume, and distribution of ventilation has been observed as an infrequent complication of hepatic cirrhosis. An illustrative case is described, the features of which support the presence of a shunt or shunt-like mechanism consisting of low-resistance vascular communications within the lung. We suggest that this may represent the existence of a hepatopulmonary syndrome analogous to the hepatorenal syndrome.
一种以运动时低氧血症加重、直立性低氧血症、低碳酸血症以及高动力循环证据为特征，但肺气流、容量和通气分布的其他指标正常的综合征，已被观察到是肝硬化的一种罕见并发症。本文描述了一个典型病例，其特征支持存在一种由肺内低阻力血管交通组成的分流或类似分流的机制。我们认为这可能代表存在一种类似于肝肾综合征的肝肺综合征。
