Mesh : Humans Hepatopulmonary Syndrome / diagnostic imaging complications Female Middle Aged Technetium Tc 99m Aggregated Albumin Echocardiography / methods Radionuclide Imaging / methods Radiopharmaceuticals

来  源:   DOI:10.1967/s002449912704

Abstract:
The hepatopulmonary syndrome (HPS) is characterized by arterial oxygenation defect induced by intrapulmonary vascular dilatations in the setting of liver disease. We report a 57-year-old woman with a history of liver cirrhosis presented with progressive cyanosis, exertional dyspnea and a dry cough. Oxyhemoglobin saturation was 88.5% on room air. Contrast transthoracic echocardiography (cTTE) and technetium-99m-macroaggregated albumin (99mTc-MAA) scintigraphy showed an intrapulmonary shunting and confirmed HPS.
摘要:
肝肺综合征(HPS)的特征是在肝病背景下由肺内血管扩张引起的动脉氧合缺陷。我们报告了一名57岁的女性,有肝硬化病史,并伴有进行性紫癜,劳力性呼吸困难和干咳。室内空气中氧合血红蛋白饱和度为88.5%。经胸超声心动图(cTTE)和tech-99m-巨聚白蛋白(99mTc-MAA)闪烁显像显示肺内分流并证实了HPS。
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