Castellote J, Porta F
Sección de Aparato Digestivo, Hospital General de Manresa, Barcelona.
Rev Esp Enferm Dig. 1994 Dec;86(6):912-4.
We report two cases of chylous ascites secondary to liver cirrhosis. The ascites in cirrohotic patients has chylous characteristics in only the 0.5-1.3% of cases. Its physiopathology is unknown. It is difficult of manage as is almost always refractory to diuretic treatment. In view of its short-term high mortality, liver transplantation should be considered in selected cirrhotic patients who develop spontaneous chylous ascites.
我们报告了两例继发于肝硬化的乳糜性腹水病例。肝硬化患者的腹水仅在0.5%-1.3%的病例中具有乳糜性特征。其病理生理学尚不清楚。由于几乎总是对利尿剂治疗无效,因此难以处理。鉴于其短期高死亡率,对于发生自发性乳糜性腹水的特定肝硬化患者,应考虑进行肝移植。