ID 25094
著者
ミキ, ケイスケ Department of Internal Medicine, Kochi Nokyo General Hospital
シノハラ, ツトム Third Department of Internal Medicine, The University of Tokushima School of Medicine
オオグシ, フミタカ Third Department of Internal Medicine, The University of Tokushima School of Medicine
曽根, 三郎 Third Department of Internal Medicine, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
山田, 博胤 Second Department of Internal Medicine, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
オオイシ, ヨシフミ Second Department of Internal Medicine, The University of Tokushima School of Medicine
若槻, 哲三 Second Department of Internal Medicine, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧 KAKEN研究者をさがす
伊東, 進 Second Department of Internal Medicine, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧
余喜多, 史郎 First Department of Surgery, The University of Tokushima School of Medicine
田代, 征記 First Department of Surgery, The University of Tokushima School of Medicine 徳島大学 教育研究者総覧
キーワード
Hypoxemia
liver disease
contrast echocardiography
pulmonary angiography
99mTc macroaggregated albumin (99mTcMAA) lung scan
資料タイプ
学術雑誌論文
抄録
We report a 70-year-old man with hepatopulmonary syndrome (HPS) in C liver cirrhosis. Hypoxemia worsened markedly, especially on exertion, while the hepatic function was clinically stable. Contrast echocardiography, 99mTc macroaggregated albumin (99mTcMAA) lung scan, and pulmonary angiography were performed. The findings suggested the presence of both intrapulmonary vascular dilatation and substantial right-to-left shunt. The contribution of intrapulmonary vascular abnormalities in patients with severe liver cirrhosis without abnormal chest radiography and spirometry tests when marked hypoxemia is present should be investigated.
掲載誌名
The journal of medical investigation : JMI
ISSN
13431420
cat書誌ID
AA11166929
47
3-4
開始ページ
164
終了ページ
169
並び順
164
発行日
2000
備考
EDB ID
135601
フルテキストファイル
言語
eng
部局
病院
医学系