临床误诊误治2012，Vol.25Issue(5)：9-11,3.DOI:10.3969/j.issn.1002-3429.2012.05.006
布-加综合征合并上腔静脉阻塞诊治分析
Diagnosis and Treatment Analysis of Budd-Chiari Syndrome Combined with Superior Vena Cava
摘要
Abstract
Objective To explore the diagnosis and treatment of Budd-Chiari syndrome combined with superior vena cava (SVC). Methods The 3 cases were diagnosed as Budd-Chiari syndrome by color doppler and MRV of abdomen. SVC was diagnosed by superior vena cave venography. The 3 cases with inferior vena cava (1VC) stenosis and obstruction underwent percutaneous translu-minal angioplasty. The percutaneous transluminal angioplasty was used in the first case where the stenosis of SVC entered atrium dex-trum, but the second and third cases were not given interventional therapy because the guide wire failed to pass through the SVC obstruction and the two cases had no obvious symptom of superior vena cave. Results The inferior vena cava pressure of the 3 patients dropped from (23.33, 25.88, 17.55) mmHg before operation and to (9.60, 9.60, 7.20) mmHg after operation. The pressure of SVC dropped from 16.58 mmHg before operation and to 6.98 mmHg after operation in the first case. The 3 patients recovered successfully and were discharged. All of the 3 cases were followed up and the symptoms disappeared completely and liver and renal functions returned to normal. Conclusion To avoid missed diagnosis of superior vena cava, pathogenetic condition of patients with Budd-Chiari syndrom should be made clear preoperative. Slight and serious symptom of SVC should be dealt with different methods.关键词
布-加综合征/上腔静脉综合征/导管插入术Key words
Budd-Chiari syndrome/ Superior vena cava syndrome/ eatheterization分类
医药卫生引用本文复制引用
徐树彬,李亮,崔进国,梁志会,范玉红,刘晶磊,李佳..布-加综合征合并上腔静脉阻塞诊治分析[J].临床误诊误治,2012,25(5):9-11,3.基金项目
全军医药卫生科研基金课题(08G167) （08G167）
