Gandhi V C, Leehey D J, Stanley M M, Nemchausky B A, Daugirdas J T, Greenlee H B, Jablokow V R, Ing T S
Am J Kidney Dis. 1985 Sep;6(3):185-7. doi: 10.1016/s0272-6386(85)80025-1.
End-stage renal failure supervened in two cirrhotic patients with ascites, necessitating maintenance hemodialysis therapy. One patient had a functioning LeVeen peritoneo-jugular shunt (Becton-Dickinson, Rutherford, NJ) in place at the time that hemodialysis was initiated. In the other patient, a LeVeen shunt was inserted 8 months after beginning hemodialysis, after extracorporeal ultrafiltration had failed to resolve his ascites. Both patients achieved control of their ascites and enjoyed relatively long survival. Our results suggest that, in patients with cirrhotic ascites who develop end-stage renal failure, successful long-term management can be obtained using a combination of peritoneo-venous shunting and maintenance hemodialysis.
两名肝硬化腹水患者出现终末期肾衰竭，需要维持性血液透析治疗。其中一名患者在开始血液透析时，体内有一根功能正常的LeVeen腹腔-颈静脉分流管（Becton-Dickinson公司，新泽西州卢瑟福）。另一名患者在开始血液透析8个月后，体外超滤未能消除腹水，随后插入了一根LeVeen分流管。两名患者的腹水均得到控制，并存活了相对较长时间。我们的结果表明，对于肝硬化腹水并发终末期肾衰竭的患者，采用腹腔-静脉分流术和维持性血液透析相结合的方法，可以成功地进行长期治疗。
