Maeda T, Shimada M, Shirabe K, Taketomi A, Matsumata T, Sugimachi K
Second Department of Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Br J Clin Pract. 1995 May-Jun;49(3):149-51.
Intractable ascites after hepatic resection is one of the gravest complications pertaining to deterioration in a patient's quality of life. Two cases are presented with intractable ascites that did not respond to ordinary conservative treatment after hepatic resection but were eventually successfully treated. The authors propose the following strategies: the conducting of aggressive and extensive examinations including angiography; and a peritoneovenous shunt for patients demonstrating no definite cause, to improve their quality of life.
肝切除术后顽固性腹水是导致患者生活质量恶化的最严重并发症之一。本文介绍了两例肝切除术后顽固性腹水的病例,这些腹水对常规保守治疗无效,但最终成功治愈。作者提出了以下策略:进行包括血管造影在内的积极广泛检查;对于病因不明的患者进行腹腔静脉分流术,以改善他们的生活质量。