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慢性肺心病(下简称肺心病)的主要病理生理改变是长期缺氧及右心功能不全,从而使全身脏器淤血,并影响其正常功能。这些脏器的功能失调又常使临床病情复杂化,给处理增加了困难。肝脏是人体最大的实质器官,也是血流最丰富、功能最复杂的器官,在肺心病过程中它也是较早直接受累的。肝脏在肺心病临床过程中,可能有哪些功能方面的改变?这些变化对于指导临床实际工作有什么样的关系?我们对它了解得并不清楚。本文拟通过三年多来的病例分析,加以初步探讨。
Chronic pulmonary heart disease (hereinafter referred to as pulmonary heart disease) the main pathophysiological changes are long-term hypoxia and right ventricular dysfunction, so that systemic congestion, and affect their normal function. The dysfunction of these organs often complicates the clinical condition and adds difficulties to handling. The liver is the body’s largest organ, but also the most abundant blood flow, the most complex organ function in the process of pulmonary heart disease it is also an earlier direct involvement. What are the possible functional changes of liver in the clinical course of pulmonary heart disease? What is the relationship between these changes and the clinical practice? We do not know it clearly. This article intends to pass the case analysis of more than three years, to be initially discussed.