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Home > West Medicine > Internal Medicine > Respiratory Medicine
K76.805

Hepatopulmonary Syndrome

呼吸内科

Common symptoms

紫绀、呼吸困难、肝掌、腹水、蜘蛛痣、肺受累、气短、肝气犯肺

The pathology of disease

Hepatopulmonary syndrome is intrapulmonary vascular dilation in cirrhosis/portal hypertension, causing ventilation-perfusion mismatch and hypoxemia, presenting with dyspnea, platypnea, and cyanosis. Treatment: supplemental oxygen; treat underlying liver disease; TIPS in selected; liver transplant is definitive (reverses HPS); monitor oxygenation/AAG (alveolar-arterial gradient); avoid high altitude; treat effusions; follow-up.

Common Symptoms

Dyspnea; platypnea; cyanosis; hypoxemia; in cirrhosis

Causes and Pathogenesis

Intrapulmonary vasodilation causes V/Q mismatch and hypoxemia.

Treatment

Oxygen; treat liver disease; TIPS; transplant is definitive

Preventive Measures

Early treatment of cirrhosis; monitor oxygenation.

Department to Visit

It is recommended to visit the Hepatology/Pulmonology/Transplant department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.