Recurrent Intracranial Hemorrhagic Episodes in Hepatopulmonary Syndrome.

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概要

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• A 57-year-old woman with hepatopulmonary syndrome was treated for eight years. Severe hypoxemia continued and her erythrocytosis was slowly progressive. Two episodes of intracranial hemorrhagic attack had occurred during the follow-up period and the patient died due to multiple organ failure after the second intracranial hemorrhage. Her autopsy findings confirmed not only established liver cirrhosis associated with intracranial hemorrhage but also the marked dilatation of pulmonary capillaries in both lungs. These findings suggest that secondary erythrocytosis in hepatopulmonary syndrome can be contributed to fatal intracranial vascular accidents. The containment of erythrocytosis should be considered in these patients.(Internal Medicine 31 : 786-790, 1992)

• 社団法人　日本内科学会の論文

著者

• Nishimaru Katsuya

  The First Department Of Internal Medicine Fukuoka University

• OKUMURA MAKOTO

  The First Department of Internal Medicine and the Department of Anatomy, School of Medicine, Fukuoka University

• SHIJO Hiroshi

  The First Department of Internal Medicine, School of Medicine, Fukuoka University

• NISHIMARU Katsuya

  the First Department of Internal Medicine, School of Medicine, Fukuoka University

• SASAKI Haruka

  the First Department of Internal Medicine, School of Medicine, Fukuoka University

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