The hepatopulmonary syndrome treatment

Currently hepatorenal syndrome (HPS) in the pathogenesis is not yet fully explained, the effect of treatment is not good enough. Mainly correct hypoxemia and treatment of the original liver disease. Reports and Hyperbaric oxygen therapy to patients with early to remove hypoxemia. Anatomy for pulmonary arteriovenous shunt that the beam can be used interventional treatment, in which the release coils, gelatin sponge, etc. peg This will block the diversion, and improve oxygenation and correct hypoxemia, can avoid surgery. Liver transplantation can improve hypoxemia, the HPS is an effective treatment methods; Drug treatment can be tested from Ami-formyl-acid, 50 mg oral, 2 to 3 times / d, sustained three to five weeks, may improve lung ventilation / flow ratio so PaO2 increased; In addition vermis stamp America Xin, octreotide, garlic and other drugs can be tested, the results need further confirmation. HPS fatality reported up to 36.7%.