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一例经颈静脉肝内门体分流术治疗无效的顽固性肝性胸水病例

[A case of refractory hepatic hydrothorax that was not treated by transjugular intrahepatic portosystemic shunt].

作者信息

Park Hye Won, Huh Woong, Kim Sung Jun, Shin Won Chang, Choi Won Chung, Lee Jin Ho

机构信息

Department of Internal Medicine, In-je University Collage of Medicine, Sanggye Paik Hospital, Seoul, Korea.

出版信息

Taehan Kan Hakhoe Chi. 2002 Sep;8(3):327-30.

Abstract

Refractory hepatic hydrothorax has been treated by conservative methods: salt and water restriction, diuretics, thoracentesis, thoracostomy, and pleurodesis. The results, however, havebeen disappointing. Recently, TIPS has emerged as a new method for refractory hepatic hydrothorax, but it may lead to fatal complications. We report a case of refractory hepatic hydrothorax that was not treated by TIPS despite of successful control of ascitest.

摘要

难治性肝性胸腔积液一直采用保守方法治疗

限制盐和水的摄入、使用利尿剂、胸腔穿刺术、胸腔造口术和胸膜固定术。然而,结果却令人失望。最近,经颈静脉肝内门体分流术(TIPS)已成为治疗难治性肝性胸腔积液的一种新方法,但它可能会导致致命的并发症。我们报告一例难治性肝性胸腔积液病例,尽管腹水得到成功控制,但未采用TIPS进行治疗。

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