实用肝脏病杂志 ›› 2014, Vol. 17 ›› Issue (2): 214-217.doi: 10.3969/j.issn.1672-5069.2014.02.029

• 综述 • 上一篇    下一篇

门脉性肺动脉高压的诊断与治疗进展

蔡均均综述,韩涛审校   

  1. 300170 天津市 天津医科大学三中心临床学院/天津市第三中心医院肝内科/天津市人工细胞重点实验室/天津市肝胆疾病研究所
  • 收稿日期:2013-08-15 出版日期:2014-08-20 发布日期:2016-04-15
  • 通讯作者: 韩涛 E-mail:hantaomd@126.com
  • 作者简介:蔡均均,女,25岁,硕士研究生。主要从事肝脏疾病研究。E-mail: caijunjungo@163.com
  • 基金资助:
    天津市科委基金项目(12JCYBJC17300)

Progress in diagnosis and treatment of patients with portopulmonary hypertension

Cai Junjun,Han Tao.   

  1. Department of Hepatology,Tianjin Institute of Hepatobiliary Disease,Third Central Clinical College,Tianjin Medical University,Tianjin 300170,China
  • Received:2013-08-15 Online:2014-08-20 Published:2016-04-15

摘要: 门脉性肺动脉高压是伴或不伴晚期肝病患者在门静脉高压基础上出现以肺动脉压升高和肺血管阻力增加为特点的疾病。门脉性肺动脉高压显著增加患者病死率。目前尚无明确有效的治疗药物,肝移植是唯一有效的治疗手段。本文重点介绍了门脉性肺动脉高压的流行病学、发病机制、临床表现、诊断、治疗及预后情况。

关键词: 门脉性肺动脉高压, 肝硬化, 诊断, 治疗

Abstract: Portopulmonary hypertension (PPHTN) is defined as the development of pulmonary arterial hypertension associated with increased pulmonary vascular resistance complicating portal hypertension, with or without advanced liver disease. The presence of PPHTN markedly increases mortality. No effective medical therapies are currently available and liver transplantation is the only accepted treatment at the time. This review stresses on the epidemiology, pathophysiology, clinical presentation, diagnosis, treatment and the prognosis of PPHTN.

Key words: Portopulmonary hypertension, Liver cirrhosis, Diagnosis, Treatment