SPONTANEOUS IMPROVEMENT IN A PATIENT WITH THE HEPATOPULMONARY SYNDROME ASSESSED BY SERIAL EXERCISE TESTS

被引:19
作者
SAUNDERS, KB [1 ]
FERNANDO, SSD [1 ]
DALTON, HR [1 ]
JOSEPH, A [1 ]
机构
[1] ST GEORGE HOSP,SCH MED,DEPT DIAGNOST & RADIOL,LONDON SW17 0RE,ENGLAND
关键词
D O I
10.1136/thx.49.7.725
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
A 37 year old patient with chronic active hepatitis progressing to cirrhosis presented with increasing breathlessness and was found to be hypoxic with finger clubbing. A progressive exercise study with measurement of oxygen saturation (Sao(2)) showed abnormally high ventilation and desaturation to 81% at 100 W. Serial studies over nearly two years showed, first, deterioration, then improvement with lower ventilation and higher saturation levels at all work loads. This could not be correlated with any change in treatment with azathioprine, prednisolone, or propranolol.
引用
收藏
页码:725 / 727
页数:3
相关论文
共 6 条
[1]   ARTERIAL CHANGES IN LUNGS IN CIRRHOSIS OF LIVER - LUNG SPIDER NEVI [J].
BERTHELO.P ;
WALKER, JG ;
SHERLOCK, S ;
REID, L .
NEW ENGLAND JOURNAL OF MEDICINE, 1966, 274 (06) :291-&
[2]   SEVERE HYPOXEMIA-ASSOCIATED INTRAPULMONARY SHUNT IN A PATIENT WITH CHRONIC LIVER-DISEASE - IMPROVEMENT AFTER MEDICAL-TREATMENT [J].
CADRANEL, JL ;
MILLERON, BJ ;
CADRANEL, JF ;
FERMAND, JP ;
ANDRIVET, P ;
BROUET, JC ;
ADNOT, S ;
AKOUN, GM .
AMERICAN REVIEW OF RESPIRATORY DISEASE, 1992, 146 (02) :526-527
[3]   QUANTIFICATION OF RIGHT TO LEFT SHUNT THROUGH PULMONARY ARTERIOVENOUS-MALFORMATIONS USING TC-99M) ALBUMIN MICROSPHERES [J].
CHILVERS, ER ;
PETERS, AM ;
GEORGE, P ;
HUGHES, JMB ;
ALLISON, DJ .
CLINICAL RADIOLOGY, 1988, 39 (06) :611-614
[4]   ALVEOLAR-CAPILLARY OXYGEN DISEQUILIBRIUM IN HEPATIC CIRRHOSIS [J].
DAVIS, HH ;
SCHWARTZ, DJ ;
LEFRAK, SS ;
SUSMAN, N ;
SCHAINKER, BA .
CHEST, 1978, 73 (04) :507-511
[5]   METAANALYSIS OF VALUE OF PROPRANOLOL IN PREVENTION OF VARICEAL HEMORRHAGE [J].
HAYES, PC ;
DAVIS, JM ;
LEWIS, JA ;
BOUCHIER, IAD .
LANCET, 1990, 336 (8708) :153-156
[6]   THE HEPATOPULMONARY SYNDROME - NEW NAME, OLD COMPLEXITIES [J].
RODRIGUEZROISIN, R ;
AGUSTI, A ;
ROCA, J .
THORAX, 1992, 47 (11) :897-902