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布-加综合征继发腹腔间隔室综合征的处理

卢秀波 马秀现 许培钦 许雅娟

中国普通外科杂志2001,Vol.10Issue(2):166-168,3.
中国普通外科杂志2001,Vol.10Issue(2):166-168,3.

布-加综合征继发腹腔间隔室综合征的处理

Management of Budd-Chiari syndrome complicated with abdominal compartment syndrome

卢秀波 1马秀现 1许培钦 1许雅娟2

作者信息

  • 1. 河南医科大学第一附属医院普外科,
  • 2. 河南省郑州市第二人民医院,
  • 折叠

摘要

Abstract

Objective To study the mechanism and management of abdominal compartment syndrome (ACS) in patients with Budd Chiari Syndrome (BCS).Methods 42 patients with BCS complicated with ACS were diagnosed by venography and intraabdominal pressure measurement. All patients were treated with ascities dialysis and influsion before operation. Portosystemic shunt was performed on 36 patients, and interventional procedures were conducted to recanalize the occluded main hepatic vein(MHV) on 6 patients. Results In this series, 2 patients died postoperatively and 2 patients had no good results in long term follow-up; the clinical features disappeared or markedly alleviated in the others. Conclusions MHV occlusion is the primary pathologic change of BCS complicated with ACS. Portosystemic shunt operation or MHV recanalization by interventional therapy can relieve the symptoms of BCS with ACS.

关键词

肝静脉血栓形成/并发症/腹腔间隔综合征/病因学

分类

医药卫生

引用本文复制引用

卢秀波,马秀现,许培钦,许雅娟..布-加综合征继发腹腔间隔室综合征的处理[J].中国普通外科杂志,2001,10(2):166-168,3.

中国普通外科杂志

1005-6947

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