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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">perinatology</journal-id><journal-title-group><journal-title xml:lang="ru">Российский вестник перинатологии и педиатрии</journal-title><trans-title-group xml:lang="en"><trans-title>Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1027-4065</issn><issn pub-type="epub">2500-2228</issn><publisher><publisher-name>Ltd. “The National Academy of Pediatric Science and Innovation”</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21508/1027-4065-2016-61-5-149-154</article-id><article-id custom-type="elpub" pub-id-type="custom">perinatology-398</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>XIII РОССИЙСКАЯ КОНФЕРЕНЦИЯ «ПЕДИАТРИЯ И ДЕТСКАЯ ХИРУРГИЯ В ПРИВОЛЖСКОМ ФЕДЕРАЛЬНОМ ОКРУГЕ»</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>13TH RUSSIAN CONFERENCE ON PEDIATRICS AND PEDIATRIC SURGERY IN THE VOLGA FEDERAL DISTRICT</subject></subj-group></article-categories><title-group><article-title>Портопульмональная гипертензия у ребенка</article-title><trans-title-group xml:lang="en"><trans-title>Portopulmonary hypertension in a child</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Садыкова</surname><given-names>Д. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Sadykova</surname><given-names>D. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра педиатрии с курсом поликлинической педиатрии </p><p>д.м.н., проф., зав. кафедрой</p><p>420012 Казань, ул. Муштари, д. 11</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Сабирова</surname><given-names>Д. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Sabirova</surname><given-names>D. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра педиатрии с курсом поликлинической педиатрии</p><p>к.м.н., асс. кафедры</p><p>420012 Казань, ул. Муштари, д. 11</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Шакирова</surname><given-names>А. Р.</given-names></name><name name-style="western" xml:lang="en"><surname>Shakirova</surname><given-names>A. R.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра педиатрии с курсом поликлинической педиатрии</p><p>асс. кафедры</p><p>420012 Казань, ул. Муштари, д. 11</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Фирсова</surname><given-names>Н. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Firsova</surname><given-names>N. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кардиологическое отделение</p><p>зав. отделением</p><p>420138 Казань, Оренбургский тракт, д. 140</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Хуснуллина</surname><given-names>Г. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Khusnullina</surname><given-names>G. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кардиологическое отделение</p><p>к.м.н., врач отделения</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кустова</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kustova</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>кафедра педиатрии с курсом поликлинической педиатрии</p><p>врач-интерн кафедры</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБОУ ДПО «Казанская государственная медицинская академия» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Kazan State Medical Academy, Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>ГАУЗ «Детская республиканская клиническая больница» Министерства Здравоохранения Республики Татарстан», Казань</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Republican Children`s Clinical Hospital, Ministry of Health of the Republic of Tatarstan, Kazan</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2016</year></pub-date><pub-date pub-type="epub"><day>20</day><month>11</month><year>2016</year></pub-date><volume>61</volume><issue>5</issue><fpage>149</fpage><lpage>154</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ltd. “The National Academy of Pediatric Science and Innovation”, 2016</copyright-statement><copyright-year>2016</copyright-year><copyright-holder xml:lang="ru">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><copyright-holder xml:lang="en">Ltd. “The National Academy of Pediatric Science and Innovation”</copyright-holder><license xlink:href="https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice" xlink:type="simple"><license-p>https://www.ped-perinatology.ru/jour/about/submissions#copyrightNotice</license-p></license></permissions><self-uri xlink:href="https://www.ped-perinatology.ru/jour/article/view/398">https://www.ped-perinatology.ru/jour/article/view/398</self-uri><abstract><p>Статья посвящена проблеме портопульмональной гипертензии (легочная артериальная гипертензия, связанная с портальной гипертензией). Легочная гипертензия является редким, прогностически неблагоприятным осложнением портальной гипертензии, независимо от этиологического фактора последней. Диагностическими критериями портопульмональной гипертензии являются: наличие портальной гипертензии с или без заболевания печени, среднее давление в легочной артерии более 25 мм рт. ст. в покое, нормальные показатели давления заклинивания в легочной артерии (&lt;15 мм рт. ст), легочное сосудистое сопротивление более 3 ед. Вуда/м2. Цель работы: описание развития клинической картины, диагностики и лечения портопульмональной гипертензии у больного на фоне корригированной портальной гипертензии. Существуют трудности в постановке диагноза портопульмональной гипертензии, так как ее симптомы неспецифичны. Наиболее характерные признаки — одышка, утомляемость, снижение толерантности к физической нагрузке, синкопальные состояния.</p></abstract><trans-abstract xml:lang="en"><p>The paper deals with portopulmonary hypertension (pulmonary arterial hypertension associated with portal hypertension). Pulmonary hypertension is a rare, prognostically unfavorable complication of portal hypertension, regardless of the etiological factor of the latter. The diagnostic criteria for portopulmonary hypertension are portal hypertension with or without liver disease; a resting mean pulmonary artery pressure &gt;25 mm Hg; a normal pulmonary artery wedge pressure &lt;15 mm Hg; and a pulmonary vascular resistance of more than 3 Wood units/m2. Objective: to describe of the development of the clinical picture, diagnosis, and treatment of portopulmonary hypertension in a patient during corrected portal hypertension. There are challenges in the diagnosis of portopulmonary hypertension because its symptoms are nonspecific. The most characteristic symptoms of the disease are dyspnea, fatigue, exercise intolerance, and syncope.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дети</kwd><kwd>легочная артериальная гипертензия</kwd><kwd>портопульмональная гипертензия</kwd><kwd>антагонисты эндотелиновых рецепторов</kwd><kwd>ингибиторы фосфодиэстеразы-5</kwd></kwd-group><kwd-group xml:lang="en"><kwd>children</kwd><kwd>pulmonary arterial hypertension</kwd><kwd>portopulmonary hypertension</kwd><kwd>endothelin receptor antagonists</kwd><kwd>phosphodiesterase 5 inhibitors</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Galiè N., Humbert M., Vachiery J.L. et al. 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension: The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS) Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Heart and Lung Transplantation (ISHLT). 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