INTRAPULMONARY SHUNTING CAUSING HYPOXEMIA IN A CASE OF CARCINOID-SYNDROME

被引：11

作者：

HUSSAIN, A ^{[1
]}

YOUNG, ET ^{[1
]}

GREAVES, JD ^{[1
]}

HAMMOND, PJ ^{[1
]}

HUGHES, JMB ^{[1
]}

WALLIS, SC ^{[1
]}

BLOOM, SR ^{[1
]}

机构：

[1] HAMMERSMITH HOSP,DEPT MED,LONDON W12 0HS,ENGLAND

来源：

CLINICAL ENDOCRINOLOGY | 1994年 / 41卷 / 04期

关键词：

D O I：

10.1111/j.1365-2265.1994.tb02587.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A case of metastatic carcinoid syndrome with hyperaemia is described. The hypoxaemia appeared to be due to intrapulmonary shunting. There was improvement in resting and exercise arterial oxygen saturations following chemotherapy with streptozotocin and 5-fluorouracil. This was followed by a decrease in the tumour bulk which may have led to a reduction in the secretion of the vasodilator products responsible for shunting. Some features of this case suggest that the hypoxaemia might have been due to dilatation of precapillary and capillary vessels of the pulmonary micro-circulation. These features are part of the so-called 'hepatopulmonary syndrome', of which this case appears to represent a less severe form.

引用

页码：535 / 537

页数：3

共 11 条

[1] HYPOXEMIA IN MALIGNANT CARCINOID-SYNDROME - A CASE ATTRIBUTED TO OCCULT LYMPHANGITIC METASTATIC INVOLVEMENT [J].