Síndrome Hepatopulmonar
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| Tác giả: | |
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| Định dạng: | artículo original |
| Trạng thái: | Versión publicada |
| Ngày xuất bản: | 2013 |
| Miêu tả: | Hepatopulmonary syndrome (HPS) is an underdiagnosed syndrome that is defined as a clinical triad of advanced liver disease, arterial deoxygenation and intrapulmonary vascular dilatation. It is a rare complication of liver disease of varied etiologies and indicates a poor prognosis. Many theories have been put forward to throw light over its pathogenesis. The major clinical manifestations are arterial hypoxemia, clubbed fingers and spider naevi. Orthodeoxia and platypnea are usual clinical features. A simple non invasive method to screen HPS is desirable. Contrast enhanced 2D Echo cardiography is the preferred screening test. No effective medical treatment has been found. Although liver transplant seems feasible to reverse, at least partially, this situation. Long-term oxygen therapy pre and post liver transplant might offer a new therapeutic approach to improve liver function in patients with cirrhosis with hypoxemia. |
| Quốc gia: | Portal de Revistas UCR |
| Tổ chức giáo dục: | Universidad de Costa Rica |
| Repositorio: | Portal de Revistas UCR |
| Ngôn ngữ: | Español |
| OAI Identifier: | oai:portal.ucr.ac.cr:article/8042 |
| Truy cập trực tuyến: | https://revistas.ucr.ac.cr/index.php/medica/article/view/8042 |
| Từ khóa: | síndrome hepatopulmonar desoxigenación arterial dilatación vascular pulmonar ecocardiografía de contraste hepatomulmonary syndrome arterial deoxigenation intrapulmonar vascular dilatation contrast echo cardiography liver transplant |