提高肝病相关性肺血管病的认识

Improve the understanding of hepatic disease related pulmonary vascular disease

肝病相关性肺血管疾病是指由肝实质性或肝血管性疾病引起的肺循环结构或功能改变,主要包括以低氧血症为显著特征的肝肺综合征,以肺动脉高压为特征的门脉性肺动脉高压,以及以心排量增高、肺动脉高压为特征的肝血管分流性疾病,这种疾病需要早期发现,早期治疗肝病,早期进行肝移植评估,可以明显改善预后。此外,有必要提高临床医生对该疾病的认识,加强多学科合作,提高诊断和治疗水平。

Hepatic disease-related pulmonary vascular disease refers to the changes in the structure or function of pulmonary circulation caused by liver parenchymal or hepatic vascular diseases,mainly including hepatopulmonary syndrome characterized by hypoxemia,portopulmonary hypertension characterized by pulmonary hypertension,and hepatic vascular shunt characterized by increased cardiac output and pulmonary hypertension.Early diagnosis and treatment of liver disease and early evaluation of liver transplantation may significantly improve the prognosis for patients with hepatic disease-related pulmonary vascular disease.Moreover,it is necessary to improve clinicians′understanding of this disease and strengthen multidisciplinary cooperation,improve the level of diagnosis and treatment.