肝硬化患者的肺功能测试 (综述)
Vasiliki Epameinondas Georgakopoulou1, Stavroula Asimakopoulou2, Evangelos Cholongitas2
1Department of Infectious Diseases and COVID-19 Unit, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, 11527 Athens, Greece.
Medicine international
|August 3, 2023
概括
肝硬化患者经常出现肺部并发症. 肺功能测试显示肺功能下降,影响手术和移植的结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 肺部病理学 肺部病理学
- 内部医学 内部医学
背景情况:
- 肝硬化经常导致慢性肝炎,并可能导致严重的肺部并发症.
- 肝硬化中的肺功能障碍是由内在的心肺问题和与肝病或门门高血压相关的特定疾病引起的.
- 关键的并发症包括肝脏水胸,肝肺综合征,自发性肺,和肺港高血压.
研究的目的:
- 对肝硬化患者使用的所有类型的肺功能测试 (PFT) 进行审查和详细说明.
- 讨论这些PFT在评估肺功能中的临床意义.
- 突出肺功能障碍对患者管理和结果的影响.
主要方法:
- 对肝硬化肺功能测试 (PFTs) 现有文献的审查.
- 对这些患者通常评估的PFT参数的分析.
- 讨论已识别的PFT异常的临床影响.
主要成果:
- 肝硬化患者表现出降低的螺旋计参数,一氧化碳 (DLCO) 扩散能力和肺体积.
- 异常包括更高的闭合体积,增加的气道阻塞压力,以及增加的排出的氧化.
- 治疗性抛物线可以改善肺功能在患有炎的患者.
结论:
- 肺功能测试对于评估肝硬化患者的肺部健康至关重要.
- 识别肺功能障碍对于手术风险评估和优化移植后结果至关重要.
- 移植团队必须意识到肝病中肺功能障碍的流行和相关性.
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