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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。

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