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[1例采用胸膜静脉分流术治疗的肝性胸水]

[A case of hepatic hydrothorax treated by pleuro-venous shunt].

作者信息

Narita K, Iwanami H, Ikeda N, Tachibana M, Sakonji M, Watanabe S, Hasegawa K, Shinohara Y, Tsuboi E

机构信息

Department of Chest Surgery, Tsuboi Hospital, Jizankai Medical Institute.

出版信息

Kyobu Geka. 1992 Dec;45(13):1205-8.

PMID:1335525
Abstract

We reported a successful pleuro-venous shunt operation (Pl-V shunt) for a patient of liver cirrhosis with secondary hydrothorax. A 78-year-old female was admitted to our hospital because of severe dyspnea and palpitation. Chest x-ray film revealed right sided massive pleural effusion. Over several weeks the chest tube drainaged about 1,500 ml of transudative fluid per day. We performed Pl-V shunting and pleural effusion subsequently decreased in amount and dyspnea disappeared. This Pl-V shunting is thought to be useful for such a patient with massive pleural effusion which failed to respond to medical therapy.

摘要

我们报道了一例成功的胸膜静脉分流术(Pl-V分流术)用于治疗一名患有继发性胸腔积液的肝硬化患者。一名78岁女性因严重呼吸困难和心悸入住我院。胸部X光片显示右侧大量胸腔积液。在数周时间里,胸腔闭式引流每天引出约1500毫升漏出液。我们实施了Pl-V分流术,随后胸腔积液量减少,呼吸困难消失。这种Pl-V分流术被认为对这类胸腔积液量大且药物治疗无效的患者有用。

相似文献

1
[A case of hepatic hydrothorax treated by pleuro-venous shunt].[1例采用胸膜静脉分流术治疗的肝性胸水]
Kyobu Geka. 1992 Dec;45(13):1205-8.
2
[A case of intractable hepatic hydrothorax treated by pleuro-venous shunt].[一例采用胸膜静脉分流术治疗的顽固性肝性胸腔积液病例]
Nihon Kyobu Geka Gakkai Zasshi. 1989 Apr;37(4):751-4.
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Pleurovenous shunt in treating refractory nonmalignant hepatic hydrothorax: a case report.胸膜静脉分流术治疗难治性非恶性肝性胸腔积液:一例报告
Respir Med. 2005 Dec;99(12):1603-5. doi: 10.1016/j.rmed.2005.03.027. Epub 2005 Apr 26.
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[Treatment of refractory hydrothorax in liver cirrhosis by pleuro-peritoneal shunting].[肝硬化难治性胸腔积液的胸腹分流治疗]
Gastroenterol Clin Biol. 1996;20(12):1135.
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Resistant hepatic hydrothorax: a successful case with treatment by nCPAP.难治性肝性胸腔积液:无创正压通气治疗成功病例
Respir Med. 2005 Mar;99(3):262-4. doi: 10.1016/j.rmed.2004.08.001.
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[Hepatic hydrothorax--a rare cause of pleural effusion that is difficult to manage].肝性胸水——一种难以处理的罕见胸腔积液病因
Pneumologie. 2008 Jan;62(1):40-3. doi: 10.1055/s-2007-980143. Epub 2007 Nov 20.
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[Treatment of hydrothorax in patients with cirrhosis using a peritoneo-jugular shunt].
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Hepatic hydrothorax in the absence of ascites.无腹水的肝性胸水
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[Hepatic hydrothorax].[肝性胸水]
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[Hydrothorax of hepatic origin. Description of a clinical case, pathophysiology].[肝源性胸腔积液。临床病例描述及病理生理学]
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