肝肺综合征：99mTc-MAA 闪烁层和对比经胸超声心动图显示肺内分流的病例报告。

Pub Date : 2024-04-18 DOI:10.1967/s002449912704

Pingping Zhou, Jun Yang

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摘要

肝肺综合征（HPS）的特点是肝病时肺内血管扩张引起的动脉氧合缺陷。我们报告了一名有肝硬化病史的 57 岁女性，她出现了进行性紫绀、劳力性呼吸困难和干咳。室内空气中氧血红蛋白饱和度为 88.5%。对比经胸超声心动图（cTTE）和锝-99m宏观白蛋白（99mTc-MAA）闪烁扫描显示存在肺内分流，并确诊为 HPS。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Hepatopulmonary syndrome: Case report of the evidence of intrapulmonary shunt on 99mTc-MAA scintigraphy and contrast transthoracic echocardiography.

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.

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