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Intraoperative pulmonary hypertension occurred in an asymptomatic patient with pre-existent liver cirrhotic and portal hypertension
  • ISSN号:1007-9327
  • 期刊名称:《世界胃肠病学杂志:英文版》
  • 时间:0
  • 分类:R735.7[医药卫生—肿瘤;医药卫生—临床医学] R575.2[医药卫生—消化系统;医药卫生—临床医学;医药卫生—内科学]
  • 作者机构:[1]Key Laboratory of LivingDonor Liver Transplantation of Ministry of Public Health,Department of Liver Transplantation, the First AffiliatedHospital of Nanjing Medical University, Nanjing 210029,Jiangsu Province, China
  • 相关基金:Supported by The Special Funds for Jiangsu Clinic Center of Liver Surgery, No. 2007-1-06; the Project of Medical Leading Talents of Jiangsu Province, No. 2007-2-07
中文摘要:

Portopulmonary 高血压(PPH ) 临床上被定义为由门静脉高血压复杂的肺的高动脉压的发展,与或没有先进肝的疾病。体征可能是不在的在对温和节制 PPH 并且仅仅处于一个亢奋的动态循环状态出现。先进的肝疾病的类似的症状能在严重 PPH 被观察,与腹水和下肢浮肿。肺动脉高血压通常在肝移植(副) 期间在麻药正式就职以后被诊断。我们在有肝的肝硬化的一个 41 岁的男病人的现在的 intraoperative 肺动脉高血压。因为这个病人没有 preoperation 实验室数据支持肺动脉高血压的诊断并且是无征状的很多年,在操作以后把他送到特别护理单位是必要的。进一步的学习应该是肺的高动脉压的诊断和治疗上的 focued 以便减少它的死亡。

英文摘要:

Portopulmonary hypertension(PPH) is clinically defined as the development of pulmonary arterial hypertension complicated by portal hypertension,with or without advanced hepatic disease.Physical signs may be absent in mild to moderate PPH and only appear in a hyperdynamic circulatory state.Similar signs of advanced liver disease can be observed in severe PPH,with ascites and lower extremity edema.Pulmonary hypertension is usually diagnosed after anesthetic induction during liver transplantation(LT).We present intraoperative pulmonary hypertension in a 41-year-old male patient with hepatic cirrhosis.Since this patient had no preoperation laboratory data supporting the diagnosises of pulmonary hypertension and was asymptomatic for a number of years,it was necessary to send him to the intensive care unit after operation.Further study should be focued on the diagnosis and treatment of pulmonary arterial hypertension in order to reduce its mortality.

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期刊信息
  • 《世界胃肠病学杂志:英文版》
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  • 主办单位:百世登出版集团有限公司
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  • 邮编:100023
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  • 电话:0351-4078656
  • 国际标准刊号:ISSN:1007-9327
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  • 被引量:12408