大量胸腔积液并发腹膜透析。同位素检查（腹膜-胸膜闪烁扫描术）。
Massive hydrothorax complicating peritoneal dialysis. Isotopic investigation (peritoneopleural scintigraphy).
作者信息
Lepage S, Bisson G, Verreault J, Plante G E
机构信息
Department of Cardiology, Center Hospitalier Universitaire de Sherbrooke, Québec, Canada.
出版信息
Clin Nucl Med. 1993 Jun;18(6):498-501. doi: 10.1097/00003072-199306000-00008.
Massive hydrothorax occurring during continuous ambulatory peritoneal dialysis is a rare complication that may appear at any time during the course of the treatment. Most of the time, it is right-sided and is more frequent in female patients. A case is presented that was investigated by peritoneopleural scintigraphy. A rapid accumulation of the radiopharmaceutical over the right hemithorax was observed. To explain that finding, a macroscopic diaphragmatic defect was suspected. Different therapeutic approaches are presented.
持续性非卧床腹膜透析期间出现的大量胸腔积液是一种罕见的并发症，可能在治疗过程中的任何时候出现。大多数情况下，积液位于右侧，在女性患者中更为常见。本文介绍了一例通过腹膜-胸膜闪烁扫描进行检查的病例。观察到放射性药物在右半胸迅速积聚。为了解释这一发现，怀疑存在肉眼可见的膈肌缺损。文中还介绍了不同的治疗方法。
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