特发性门静脉高压症中的胸导管与肝淋巴
Thoracic duct and hepatic lymph in idiopathic portal hypertension.
作者信息
Samanta A K, Saini V K, Chhuttani P N, Patra B S, Vashista S, Datta D V
出版信息
Gut. 1974 Nov;15(11):903-6. doi: 10.1136/gut.15.11.903.
Lymph dynamics in idiopathic portal hypertension has been studied in two phases. In the first phase thoracic duct lymph transport was studied in 11 patients with idiopathic portal hypertension by cannulating the duct. This revealed altered lymph transport in the form of a distended thoracic duct, raised pressure in the duct, and haemorrhagic lymph with an increased flow rate. The lymph flow rate was analysed in relation to various hepatic haemodynamic and biochemical parameters. In the second phase of the study hepatic lymphatics were studied by percutaneous hepatography in 16 patients with idiopathic portal hypertension. By this technique hepatic lymphatics were opacified in patients with idiopathic portal hypertension and cirrhosis with equal frequency. The significance of this finding in relation to the altered hepatic haemodynamics and thoracic duct lymph transport is discussed.
特发性门静脉高压症的淋巴动力学已分两个阶段进行了研究。在第一阶段，通过插管法对11例特发性门静脉高压症患者的胸导管淋巴转运进行了研究。这显示出胸导管扩张、导管内压力升高以及淋巴液带血且流速增加等淋巴转运改变的情况。对淋巴流速与各种肝脏血流动力学和生化参数的关系进行了分析。在研究的第二阶段，通过经皮肝造影术对16例特发性门静脉高压症患者的肝淋巴管进行了研究。通过这项技术，特发性门静脉高压症患者和肝硬化患者的肝淋巴管显影频率相同。讨论了这一发现与肝脏血流动力学改变和胸导管淋巴转运的关系。
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