Portal pulmonary hypertension aged 15 cases.doc

 PAGE \* MERGEFORMAT 7 Portal pulmonary hypertension aged 15 cases Of: Xi Chen Yang Liu Wei Hua Zhang Ying Wei Zhentong [Keywords:] portal pulmonary hypertension, elderly In recent years, found that some patients with portal hypertension can be complicated by pulmonary hypertension, pulmonary hypertension called portal (portopulmonary hypertension, PPH. Some studies have shown, PPH is common in older patients. PPH country reports on older less This paper reports 15 cases in our department diagnosis and treatment of cases of PPH features. 1 Clinical data 1.1 General Information Department of Jilin Province People’s Hospital of liver disease from January 2000 to March 2008 were treated 15 patients with PPH, 9 males and 6 females. Aged 60 to 85 years, mean 67.0 years, with cirrhosis 10 cases, 2 cases of hepatitis C cirrhosis, alcoholic cirrhosis in 3 cases. 1.2 PPH dyspnea in patients with clinical features of 15 cases (100%, P2 auscultation hyperthyroidism in 10 patients (66.7%, 12 cases of tricuspid systolic murmur area (80%, PaO2 lt;70 mmHg 15 (100%, the average (58.6 + -9.3mmHg. chest prominent pulmonary artery segment in 11 cases (73%, ECG leads V1 R / Sgt; 1 in 9 cases (60%, echocardiography showed tricuspid regurgitation in 15 cases (100% increase in right ventricular diameter of 10 cases (66.7%, right ventricular anterior wall thickening in 6 cases (40%. All the patients were excluded pulmonary embolism, connective tissue disease, left heart failure, and other leading causes of pulmonary hypertension. 1.3 Determination of pulmonary artery pressure manometry 2 cases of right heart catheterization, pulmonary artery pressure was 35 mmHg, 44 mmHg. Right ventricular outflow tract peak forward pulmonary blood flow spectrum estimated mean pulmonary artery pressure (Maham method in 5 cases, mean pulmonary artery pressure (MPAP average (43.2 +-15.2mmHg. All patients were under the thumb tricuspid regurgitation velocity systolic pulmonary art