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梁学亚 贾绮宾 张小晋 张小磊 李宪
摘 要:目的 研究肝硬化发生肝-肺综合征(HPS)与蜘蛛痣及低氧血症、门脉高压、食管-胃底静脉曲张、上消化道出血的关系。总结了55例肝硬化患者并与22例健康人作对照。方法 55例肝硬化患者中除22例做了肺功能检查外,均做血气分析、肝功能、腹部B超及上消化道造影检查。结果 肝硬化患者的肺功能和对照组比较有明显下降(P<0.05~0.01);蜘蛛痣阳性组肺功能和蜘蛛阳痣阴性组比较有明显下降(P<0.05~0.01);蜘蛛痣阳性组其低氧血症、门脉高压、上消化道出血的发生率明显高于蜘蛛痣阴性组(P<0.05);肝功能分级child C级患者肺功能明显低于child A、B级患者(P<0.05~0.01)。结论 肝-肺综合征可发生于肝硬化的任何阶段,不仅影响小血管和毛细血管,也累及中等度血管,特别是合并蜘蛛痣阳性的肝硬化患者,更应该警惕肝-肺综合征的发生。目前,肝移植被认为是有效的治疗方法。 关键词:肝-肺综合征 肝硬化 蜘蛛痣
Relationship between hepatopulmonary syndrome, spider angioma and portol hypertension
Liang Xueya (Department of Gastroenterology, Jishuitan Hospital, Beijing 100035) Jia Yibin (Department of Gastroenterology, Jishuitan Hospital, Beijing 100035) Zhang Xiaojin (Department of Gastroenterology, Jishuitan Hospital, Beijing 100035)
Abstract:In order to investigate the relationship between hepatopulmonary syndrome (HPS) and spider angioma, hypoxemia, potral hypertension, esophageal varices and upper gastrointestinal bleeding, 55 cases with cirrhosis of liver and 22 cases of healthy control were studied. Tests such as blood gas analysis, liver function,B-mode ultrasound examination of the abdomen and upper gastrointestinal radiography were given to the cirrhosis of liver patients, while 22 of them also had been undertaken the pulmonary function test.It showed that the level of pulmonary function of the patients with cirrhosis of liver was much lower than the level of the control group (P<0.05~0.01).The level of pulmonary function of the patients with the spider angioma positive group was much lower than that of the spider angioma negative group (P<0.05~0.01). The incidence of hypoxemia and portal hypertension wsa much more common in the spider angioma positive group than that in the negative group(P<0.05).The level of the pulmonary function of those patients whose liver function was in child-C was much lower than those in child-A or child[1] [2] 下一页 上一个医学论文: 义眼台植入矫正眼球内容剜除术后上睑凹陷畸形 下一个医学论文: 室上性心动过速经食管电生理与心腔内电生理检查的对比研究
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