肝肺综合征患者的肺功能改变

Pulmonary Function of Hepatopulmonary Syndrome(HPS) Patients

目的 :观察肝肺综合征 ( HPS)患者的肺功能表现。方法 :选择肝炎后肝硬化患者 87例 ,其中伴有 HPS( HPS组 ) 39例 ,无 HPS(无 HPS组 ) 48例 ,两组均进行肺功能检查。结果 :两组肺活量( VC)、用力肺活量 ( FVC)、肺总量 ( TLC)、第一秒用力呼气量 ( FEV1) ,第一秒呼气率 ( FEV1% )差异无显著性意义。而 HPS组 CO弥散 ( DLCO)显著低于无 HPS组。结论 :HPS患者存在弥散功能障碍 ,肺功能测定是

Objective: To observe the pulmonary function of Hepatopulmonary Syndrome(HPS) patients. Methods: 87 cases of liver cirrhosis due to hepatitis were chosen and divided into two groups: 39 cases in HPS group, 48 cases in without HPS group. Both groups were checked their pulmonary function. Results: There were no significant difference in VC, FVC, TLC, FEV 1 and FEV 1% in both groups. While the DL CO in HPS group was lower obviously than that in without HSP group. Conclusion: HPS patients have lower CO dispersion function, and to determine pulmonary function is the important reference index on diagnosing HPS.