肝硬化合并肝肺综合征21例临床分析

• 作 者: 于雅杰 杨海燕 杨斌 高永良
• 机 构: 北京小汤山医院,吉林省辽源市中心医院,吉林省辽源市中心医院,吉林省辽源市中心医院 北京102211,吉林辽源136200,吉林辽源136200,吉林辽源136200
• 出 处: 中国现代医生
• 发表日期: 2008年11期
• 关键词: 肝肺综合征 动脉氧分压 肝性脑病 肝硬化 低氧血症 肝病 上消化道出血 慢性发展 并发症 肝肾综合征

目的探讨肝肺综合征的临床特点及预后。方法回顾性分析2006年我院收治肝硬化患者86例,其中符合诊断标准的肝肺综合征21例。结果15例患者好转(71.4%),6例死亡(28.6%),其中3例死于上消化道出血、2例死于肝性脑病、1例死于肝肾综合征。结论肝肺综合征是肝病患者一种严重并发症,其发病率高,动脉氧分压降低,低氧血症呈慢性发展,治疗困难,远期预后不良。

Objective To investigate the clinical characteristics and prognosis of hepatopulmonary syndrome. Methods A retrospective analysis of 86 patients with cirrhosis admitted in our hospital in 2006, of which 21 cases met the diagnostic criteria of hepatopulmonary syndrome. Results 15 patients improved (71.4%) and 6 died (28.6%), of which 3 died of upper gastrointestinal bleeding, 2 died of hepatic encephalopathy and 1 died of hepatorenal syndrome. Conclusions Hepatopulmonary syndrome is a serious complication of liver disease. The incidence rate is high, arterial partial pressure of oxygen is decreased, hypoxemia is chronic development, treatment is difficult, and long-term prognosis is poor.