Hepatopulmoner Sendrom Tanısında Portabl Pulse Oksimetre ve Kontrast Ekokardiyografi

Amaç : Bu çalışmanın amacı, ortodeoksi semptomu olan siroz hastalarında hepatopulmoner sendrom tanısının portabl pulse oksimetri ve kontrastlı transtorasik ekokardiyografi ile araştırılmasıdır. Gereç ve yöntem : Çalışmaya siroz tanılı doksan beş(95) hasta(67/28 E/K) dahil edildi. Hastaların yaş ortalaması 52,28±12,0 idi. Portabl nabız oksimetresi ölçümleri, supin pozisyonunda ve oturma pozisyonunda oda havasını soluyarak elde edildi. Uygun hastaların nazal kanül ile oksijen tedavisine yanıtları değerlendirildi. Oturur pozisyonda hipoksemisi (Sa,02<%94) olan hastalarda kontrastlı transtorasik ekokardiyografi ile HPS incelendi. Bulgular: HPS olarak tanımlanan sekiz(8) hastada nabız oksimetrisi ve pozitif kontrastlı ekokardiyografi ile oturur pozisyonda hipoksemi vardı. Dört hastada (4) tip I HPS ve dört hastada(4) tip II HPS vardı. Sonuç: Sonuç olarak 95 (%8,4) hastanın sekizinde HPS vardı. HPS'li hastalar ileri yaştaydı ve Child B ve C sınıfındaydılar. Oturur pozisyonda hipoksemisi olan siroz hastalarında HPS'yi araştırmak için daha ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Hepatopulmoner sendrom, Pulse oksimetre, kontrast ekokardiyografi

Portabl Pulse Oxymetry and Contrast Echocardiography in Hepatopulmonary Syndrome Diagnosis

Objective : The aim of this study is investigating hepatopulmonary syndrome’s diagnosis in cirrhosis patients with ortodeoxy symptom by portabl pulse oxymetry and transthoracic echocardiography with contrast enhancement. Material and method : Ninety five(95) patients(67/28 M/F ) with the diagnosis of cirrhosis were included into the study. Mean age of the patients was 52,28±12,0 . Measurements of portabl pulse oximetry were obtained in a supin position and in a seated position breathing room air. The suitable patients’ response to oxygen therapy with nasal cannula was evaluated.The patients with hypoxaemia(Sa,02<%94) in seated position were investigated HPS by transthoracic echocardiography with contrast enhancement . Results: Eight(8) patients defined HPS had hypoxaemia in seated position with pulse oxymetry and positive contrast echocardiography.Four patients (4) had type I HPS and four patients(4) had type II HPS . Conclusion: In conclusion , eight of 95(%8,4) patients had HPS . Patients with HPS were old age and were in Child B and C class.In cirrhosis patients with hypoxaemia in seated position , further studies are needed to investigate HPS .

Keywords:

Hepatopulmonary syndrome, pulse oxymetry, contrast echocardiography,

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