Caso Clínico/Case Report
Síndroma hepatopulmonar: Relato de um caso clínico e revisão do tema
Hepatopulmonary syndrome: Case report and literature review
Michele De Santis1,
, Luis Vaz Rodrigues1, Fernando Matos2
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iperpicchio76@hotmail.com
Serviço de Pneumologia, Centro Hospitalar de Coimbra, (Director: Dr. Fernando Barata), Quinta dos Vales, São Martinho do Bispo, 3046 -853 Coimbra
Serviço de Pneumologia, Centro Hospitalar de Coimbra, (Director: Dr. Fernando Barata), Quinta dos Vales, São Martinho do Bispo, 3046 -853 Coimbra
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=> "iperpicchio76@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "cr0005" ] ] ] 1 => array:3 [ "nombre" => "Luis Vaz" "apellidos" => "Rodrigues" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "af0005" ] ] ] 2 => array:3 [ "nombre" => "Fernando" "apellidos" => "Matos" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">2</span>" "identificador" => "af0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Interno de Pneumologia, Centro Hospitalar de Coimbra, EPE" "etiqueta" => "1" "identificador" => "af0005" ] 1 => array:3 [ "entidad" => "Assistente Graduado em Pneumologia, Centro Hospitalar de Coimbra, EPE" "etiqueta" => "2" "identificador" => "af0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => 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array:2 [ "pt" => array:2 [ "titulo" => "Resumo" "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">A síndroma hepatopulmonar é uma complicação importante da doença hepática crónica, ocorrendo em 16-24% dos doentes. É caracterizada por aumento do gradiente alveolocapilar com ou sem hipoxemia resultante de vasodilatação intrapulmonar. O curso da doença é progressivo e associado a aumento da morbilidade e mortalidade. Não existe tratamento médico eficaz, sendo o transplante hepático a opção terapêutica prioritária. Como exemplo desta patologia, os autores apresentam o caso clínico de um doente, sexo masculino, 39 anos, enviado à consulta de Pneumologia com informação de policitemia secundária e dispneia progressiva para esforços de média intensidade e cuja investigação permitiu identificar uma síndroma hepatopulmonar.</p><p id="sp0010" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (4): 679-685</span></p></span>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span id="as0010" class="elsevierStyleSection elsevierViewall"><p id="sp0015" class="elsevierStyleSimplePara elsevierViewall">Hepatopulmonary syndrome is an important complication of chronic liver disease occurring in 1624% of patients. It is characterized by an increase in alveolar-capillary gradient, with or without hypoxemia, due to intrapulmonary vasodilatation. The course of the disease is progressive and associated with increased morbidity and mortality. There is no effective medical treatment and liver transplant is a priority. To exemplify the authors present the case of a 39 year-old male patient sent to the Pulmonology outpatient clinic and presenting with secondary polycythemia and progressive exertional dyspnoea. Clinical investigation identified a hepatopulmonary syndrome.</p><p id="sp0020" class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleBold">Rev Port Pneumol 2010; XVI (4): 679-685</span></p></span>" ] ] "lecturaRecomendada" => array:1 [ 0 => array:3 [ "vista" => "all" "titulo" => "<span class="elsevierStyleSectionTitle" id="st0025">Bibliografia</span>" "seccion" => array:1 [ 0 => array:2 [ "vista" => "all" "bibliografiaReferencia" => array:27 [ 0 => array:3 [ "identificador" => "bb0005" "etiqueta" => "1." 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Article information
ISSN: 08732159Original language: Portuguese
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