Khuroo M S, Datta D V
Am J Med. 1980 Jan;68(1):113-21. doi: 10.1016/0002-9343(80)90180-1.
Budd-Chiari syndrome following pregnancy is an extremely rare disease as reported in the literature. Reported here are 16 such cases in a total of 105 patients with Budd-Chiari syndrome seen at Postgraduate Institute of Medical Education and Research, Chandigarh, from 1963 to 1978. The clinical pointer to the diagnosis was sudden occurrence of abdominal pain and ascites following childbirth. Eleven patients had diuretic-resistant ascites. Percutaneous hepatography was valuable in detecting the site and the nature of the outflow block. The prognosis was uniformly bad, and eight patients died within one year from the onset of their illness. The various treatment schedules, including anticoagulant therapy, Rhodiascit ascitic fluid re-infusion and portasystemic shunt surgery, had no beneficial effect on the survival of these patients.
妊娠后布加综合征是文献报道中极为罕见的疾病。本文报告了1963年至1978年在昌迪加尔医学教育与研究研究生院诊治的105例布加综合征患者中有16例为此类病例。诊断的临床指征是产后突然出现腹痛和腹水。11例患者有抗利尿性腹水。经皮肝造影术对于检测流出道梗阻的部位和性质很有价值。预后普遍较差，8例患者在发病后1年内死亡。包括抗凝治疗、罗地亚腹水再输注和门体分流手术在内的各种治疗方案对这些患者的生存均无有益影响。
