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急性布加综合征:经颈静脉肝内门体分流术治疗

Acute Budd-Chiari syndrome: treatment with transjugular intrahepatic portosystemic shunt.

作者信息

Strunk H M, Textor J, Brensing K A, Schild H H

机构信息

Department of Radiology, University of Bonn, Sigmund-Freund-Strasse 27, D-53127 Bonn, Germany.

出版信息

Cardiovasc Intervent Radiol. 1997 Jul-Aug;20(4):311-3. doi: 10.1007/s002709900156.

Abstract

The case of a 28-year-old man with acute Budd-Chiari syndrome due to veno-occlusive disease is reported. Transjugular intrahepatic portosystemic shunt (TIPS) was performed after upper gastrointestinal endoscopy, duplex sonographic and abdominal computed tomographic examination, inferior cavogram with hepatic venous catheterization, and transvenous biopsy. A 10-mm parenchymal tract was created. The patient did well after the procedure; ascites resolved and liver function improved markedly. The shunt has remained patent up to now for 6 months.

摘要

报告了一例因静脉闭塞性疾病导致急性布加综合征的28岁男性病例。在进行了上消化道内镜检查、双功超声检查和腹部计算机断层扫描、经肝静脉插管的下腔静脉造影以及经静脉活检后,实施了经颈静脉肝内门体分流术(TIPS)。创建了一条10毫米的实质通道。术后患者情况良好;腹水消退,肝功能明显改善。该分流术至今已保持通畅6个月。

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