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خرید پکیج
تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
نسخه الکترونیک
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Categories of treatment of the hepatopulmonary syndrome

Categories of treatment of the hepatopulmonary syndrome
Treatment Efficacy for improving
gas exchange in HPS
Physically occlude IPVDs
Spring coil embolization Modest if technically possible
Oppose circulating vasodilators
Octreotide (somatostatin analog) Variable
Nitric oxide synthase inhibitors Variable
Indomethacin Poor
Improve V/Q matching
Almitrine bismesylate Slight
Treat underlying liver disease
Chemotherapy and corticosteroids Helpful in one patient
Liver transplantation Moderately good but variable response
Treat portal hypertension
TIPS Variable
Other (miscellaneous)
Methylene blue Variable in the few patients described
Allium sativum (garlic) Variable
Propranolol None
Plasma exchange None
Sympathomimetics None
Aspirin  
Pentoxifylline  
Antibiotics  
Mycophenolate mofetil  
Sorafenib (tyrosine kinase inhibitor) None
HPS: hepatopulmonary syndrome; IPVDs: intrapulmonary vascular dilatations; V/Q: ventilation/perfusion ratio; TIPS: transjugular intrahepatic portosystemic shunt.
Adapted from: Lange PA, Stoller JK. The hepatopulmonary syndrome. Ann Intern Med 1995; 122:521.
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