Oizumi H, Inui K, Tatebe S, Ishihara R, Washio M
Nihon Kyobu Geka Gakkai Zasshi. 1989 Apr;37(4):751-4.
A 64-year-old woman with Idiopathic Portal Hypertension was hospitalized for severe respiratory distress. Chest X-ray film showed a massive pleural effusion in the right hemithorax. Though repeated thoracentesis was performed, the patient was suffering from dyspnea frequently. A pleurovenous shunt was inserted. Follow up chest X-ray films showed resolution of pleural effusion and the patient remained free of symptoms. Two months after the placement of the shunt pleural effusion again began to develop with systemic edema caused by development of chronic renal failure. Reduction of effusion was obtained by hemodialysis. Pleurovenous shunting may provide satisfactory palliation for intractable pleural effusions.
一名64岁特发性门静脉高压症女性因严重呼吸窘迫入院。胸部X光片显示右半胸大量胸腔积液。尽管反复进行胸腔穿刺术，但患者仍频繁出现呼吸困难。遂插入胸膜静脉分流管。后续胸部X光片显示胸腔积液消退，患者症状消失。分流管置入两个月后，胸腔积液再次出现，并伴有慢性肾衰竭导致的全身性水肿。通过血液透析使积液减少。胸膜静脉分流术可为顽固性胸腔积液提供满意的缓解效果。
