Ismail A H, Mohamed F S
Lymphology. 1986 Jun;19(2):82-7.
The histopathologic changes of the peritoneum of the hemidiaphragm were studied in 30 patients with schistosomal liver disease and compared with ten control subjects. The diaphragmatic peritoneum of patients with ascites was markedly thickened with infiltration of inflammatory cells and collagen bundles resembling the interstitial changes of peripheral lymphedema. Obliteration of diaphragmatic lymphatic stomata with restricted lymph flow as well as excess lymph formation from portal hypertension are both major factors in the magnitude and intractability of ascites associated with schistosomal hepatic fibrosis.
对30例血吸虫性肝病患者的半侧膈肌腹膜组织病理变化进行了研究，并与10名对照者进行了比较。腹水患者的膈肌腹膜明显增厚，有炎症细胞浸润和胶原束，类似周围淋巴水肿的间质改变。膈肌淋巴气孔闭塞伴淋巴液流动受限以及门静脉高压导致的淋巴液生成过多，都是与血吸虫性肝纤维化相关腹水的严重程度和难治性的主要因素。
