Schuster D M, Mukundan S, Small W, Fajman W A
Grady Memorial Hospital, Department of Radiology, Emory University School of Medicine, Atlanta, Georgia, USA.
Clin Nucl Med. 1998 Jan;23(1):16-8. doi: 10.1097/00003072-199801000-00006.
A 44-year-old man had an intractable right-sided pleural effusion due to cirrhosis, despite the absence of abdominal ascites. Instillation of Tc-99m macroaggregated serum albumin under CT guidance into the peritoneal space demonstrated transdiaphragmatic communication. This finding indicated the necessity for decompressing the portal system to treat the hydrothorax. The diagnostic radionuclide ascites scan may play an important role in the treatment approach to such patients.
一名44岁男性因肝硬化出现难治性右侧胸腔积液，尽管并无腹水。在CT引导下将锝-99m标记的聚合人血清白蛋白注入腹腔，结果显示存在经膈交通。这一发现表明有必要对门静脉系统进行减压以治疗胸腔积液。放射性核素腹水扫描诊断在此类患者的治疗方法中可能发挥重要作用。
