الفهرس 
Introduction and Aim of the WorkOnly 14 pages are availabe for public view
 |  | from | 289 |  |  |
| | | from | 289 | | |
Abstract
In this study we attempt to assess left ventricular performance in chronic liver disease using the non-invasive echocardiography.
Also, we assessed changes in pulmonary functions and blood gases in these patients, and correlate those changes with the clinical severity of liver disease and degree of portal hypertension irrespective of the etiology.
We conclude that the early management of cirrhotic patients by diet regimen, medical treatment in the form of diuretics, salt free albumin can help in decreasing rate of ascitis formation in cirrhotic patients and this can improve their pulmonary function and achieve a mild improvement in the hypoxemia associated with chronic liver diseases. Also this abolishes hyperventilation which is usually associated with tense ascitis and leading to respiratory alkalosis in these patients.
Our results also demonstrated the presence of compensated respiratory alkalosis with a decrease in HCO3 level in a trial for compensation of the respiratory alkalosis to keep PH at normal levels.
We also conclude that, echocardiography permits rapid and non invasive detection of early cardiovascular complication, some of which would otherwise remain unrecognized or even unsuspected. It is an effective technique for assessment of left ventricular function in cirrhotic patients. It has advantages over chest radiography and electrocardiography in readily detecting any changes in the size of the cardiac chambers, myocardial contractility, pericardial effusion and assessment of cardiac function in these patients.
Also, blood gas analysis and pulmonary function tests is an easy, rapid, and accurate method for detecting and follow up of any mild changes in the pulmonary function. Gases of the blood and metabolic states of the body.