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四环素诱导胸膜粘连治疗肝硬化并发复发性胸腔积液。一种新的治疗方法。

Tetracycline-induced pleural symphysis for recurrent hydrothorax complicating cirrhosis. A new approach to treatment.

作者信息

Falchuk K R, Jacoby I, Colucci W S, Rybak M E

出版信息

Gastroenterology. 1977 Feb;72(2):319-21.

PMID:830583
Abstract

Two patients with cirrhosis and ascites complicated by extensive unilateral pleural transudates refractory to therapy with dietary sodium restriction, diuretics, and repeated thoracentesis were successfully managed by tetracycline-induced pleural symphysis. The intrapleural instillation of this antibiotic prevented the recurrence of the effusion and substantially relieved the patients' symptoms with minimal undesirable side effects.

摘要

两名肝硬化腹水患者并发广泛性单侧胸腔漏出液,对限钠饮食、利尿剂及反复胸腔穿刺治疗无效,采用四环素诱导胸膜粘连成功治愈。胸腔内注入这种抗生素可防止胸腔积液复发,并以最小的不良反应显著缓解了患者症状。

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1
Tetracycline-induced pleural symphysis for recurrent hydrothorax complicating cirrhosis. A new approach to treatment.四环素诱导胸膜粘连治疗肝硬化并发复发性胸腔积液。一种新的治疗方法。
Gastroenterology. 1977 Feb;72(2):319-21.
2
Hydrothorax without ascites in liver cirrhosis.肝硬化伴胸腔积液而无腹水
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Review article: hepatic hydrothorax.综述文章:肝性胸水
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Pleural effusion in liver disease.肝病性胸腔积液。
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[Hepatic hydrothorax--a rare cause of pleural effusion that is difficult to manage].肝性胸水——一种难以处理的罕见胸腔积液病因
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Hepatic hydrothorax.肝性胸水
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[Hydrothorax in absence of ascites: an unusual complication of hepatic cirrhosis with portal hypertension].[无腹水的胸腔积液:肝硬化门静脉高压的一种罕见并发症]
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[A new therapeutic approach in hepatic hydrothorax].
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[Management of malignant pleural effusion by tetracycline pleurodesis].[四环素胸膜固定术治疗恶性胸腔积液]
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Hepatic hydrothorax: possible etiology of recurring pleural effusion.肝性胸水:复发性胸腔积液的可能病因
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Medical thoracoscopy with talc pleurodesis for refractory hepatic hydrothorax: A case series of three successes.滑石粉胸膜固定术的医学胸腔镜检查治疗难治性肝性胸水:三例成功病例系列
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Rare Presentation of Isolated Spontaneous Bacterial Empyema without Concomitant Ascites in a Patient with Cirrhosis.肝硬化患者中罕见的孤立性自发性细菌性脓胸且无腹水的表现
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Pleurovenous Shunt Placement for the Management of Nonmalignant Pleural Effusion.
用于治疗非恶性胸腔积液的胸膜静脉分流术置入
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Effectiveness and Safety of Pleurodesis for Hepatic Hydrothorax: A Systematic Review and Meta-Analysis.肝性胸水胸膜固定术的有效性和安全性:一项系统评价和荟萃分析
Dig Dis Sci. 2016 Nov;61(11):3321-3334. doi: 10.1007/s10620-016-4260-9. Epub 2016 Jul 25.
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Efficacy of nonsurgical tigecycline pleurodesis for the management of hepatic hydrothorax in patients with liver cirrhosis.非手术性替加环素胸膜固定术治疗肝硬化患者肝性胸腔积液的疗效
Surg Case Rep. 2015;1(1):62. doi: 10.1186/s40792-015-0049-x. Epub 2015 Aug 12.
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Hepatic hydrothorax in the absence of ascites.无腹水的肝性胸水
BMJ Case Rep. 2013 Sep 11;2013:bcr2013200568. doi: 10.1136/bcr-2013-200568.
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Management of cardiopulmonary complications of cirrhosis.肝硬化心肺并发症的管理
Int J Hepatol. 2011;2011:280569. doi: 10.4061/2011/280569. Epub 2011 Jul 19.
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Treating hepatic hydrothorax.治疗肝性胸水。
BMJ. 2003 Apr 5;326(7392):751-2. doi: 10.1136/bmj.326.7392.751.
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The use of pleurodesis for intractable pleural effusion due to congestive heart failure.胸膜固定术用于治疗充血性心力衰竭所致顽固性胸腔积液。
Postgrad Med J. 1983 May;59(691):330-1. doi: 10.1136/pgmj.59.691.330.
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Unilateral pleural effusion without clinical ascites in Laennec's cirrhosis.
Dig Dis Sci. 1985 Jan;30(1):88-91. doi: 10.1007/BF01318377.