肝肺综合征18例临床分析

Clinical analysis of 18 hepatopulmonary syndrome cases

目的:探讨肝肺综合征(HPS)的临床特点、诊断及治疗。方法:回顾性分析自2009年1月份以来我院收治的肝硬化患者及符合诊断标准的肝肺综合征18例。结果:好转15例(83.3%),死亡3例(16.7%)。结论:肝硬化合并HPS发生率高,临床上若出现杵状指、肝掌、蜘蛛痣、门静脉增宽及Child-pugh C级的患者应引起注意,及时诊断并采取相应的治疗方案。

Objective： To discuss the clinical features, diagnosis and treatment of hepatopulmonary syndrome （HPS）. Methods： A retrospective analysis 18 cases of hepatopulmonary syndrome that admitted to our hospital since January 2009 was conducted. Results： Fifty cases showed improvements （83.3M）, 3 died （16. 7%）. Conclusions： The high incidence of hepatopulmonary syndrome complicated with HPS makes symptoms of clubbed fingers, liver palms, spider angioma, expanded portal vein and presence of Child-pugh C very dangous for patients with hepatopulmonary syndrome, and requires counterpart measures.