Hiramatsu Y, Sakakibara Y, Hirabayashi K, Mitsui T, Hori M
Department of Cardiovascular Surgery, Seirei Hamamatsu General Hospital, Hammamatsu, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1991 Mar;39(3):326-9.
A 43-year-old woman underwent triple valve replacement for combined valvular disease complicated with protein-losing gastroenteropathy. alpha 1-antitrypsin clearance (indices of protein-losing) was improved and serum protein level was normalized after the operation. Although protein-losing gastroenteropathy has been described as a complication of constrictive pericarditis, it has been a rare occurrence in other congestive heart failure. In this case, congestion is demonstrated to be a possible cause for protein-losing gastroenteropathy. We attempt to compare this case with situation of constrictive pericarditis, and describe the cause for developing protein-losing gastroenteropathy.
一名43岁女性因瓣膜性疾病合并蛋白丢失性胃肠病接受了三尖瓣置换术。术后α1抗胰蛋白酶清除率（蛋白丢失指标）得到改善，血清蛋白水平恢复正常。尽管蛋白丢失性胃肠病已被描述为缩窄性心包炎的一种并发症，但在其他充血性心力衰竭中却很少见。在本病例中，充血被证明是蛋白丢失性胃肠病的一个可能原因。我们试图将此病例与缩窄性心包炎的情况进行比较，并描述蛋白丢失性胃肠病的发病原因。
