一名患有大量腹水和胸腔积液的男性同时出现右侧容量超负荷和左侧血容量不足。
Simultaneous right-sided volume overload and left-sided hypovolemia in a man with massive ascites and a hydrothorax.
作者信息
Van Thiel D H, Nadir A, Hassanein T, Wright H I
机构信息
Oklahoma Transplant Institute, Baptist Medical Center of Oklahoma, Oklahoma City.
出版信息
Am J Gastroenterol. 1995 Mar;90(3):478-81.
The medical problems presented by an 83-yr-old man with hepatic amyloidosis complicated by massive ascites and a right hydrothorax are described. As a result of right atrial compression limiting right heart filling, the patient simultaneously experienced left-sided hypovolemia with renal and hepatic ischemia while manifesting signs of right-sided congestive failure. Only with a transjugular intrahepatic portosystemic shunt procedure, which eliminated the right atrial compression with resolution of the hydrothorax and ascites, was it possible to improve the other medical condition of this man.
本文描述了一位83岁男性患者，其患有肝淀粉样变性，并伴有大量腹水和右侧胸腔积液。由于右心房受压限制了右心充盈，患者同时出现左侧血容量不足以及肾和肝缺血，同时表现出右侧充血性心力衰竭的症状。只有通过经颈静脉肝内门体分流术，消除了右心房受压情况，使胸腔积液和腹水消退，才有可能改善该患者的其他病情。
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