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布-加综合征伴下腔静脉血栓形成诊断与治疗
引用本文:赵龙栓,赵永福,许培钦. 布-加综合征伴下腔静脉血栓形成诊断与治疗[J]. 中国医师进修杂志, 2000, 23(10): 18-19
作者姓名:赵龙栓  赵永福  许培钦
作者单位:河南医科大学第一附属医院,外科,河南,郑州,450052
摘    要:目的 :探讨布 -加综合征伴下腔静脉内血栓形成的诊断和治疗方法。方法 :回顾性分析自 1983年 5月至1998年 12月收治的 43例患者。结果 :手术治疗 42例 ,1例采用球囊导管扩张术。发生肺动脉栓塞 6例 ,4例经药物治愈 ,2例死亡。结论 :彩色多谱勒超声、下腔静脉造影或经皮肝穿刺肝静脉造影联合应用可提高对血栓的诊断率 ,治疗主要采用切开下腔静脉驱除血栓的术式

关 键 词:肝静脉血栓形成  下腔静脉  诊断
修稿时间:2000-04-10

DIAGNOSIS AND TREATMENT FOR BUDD-CHIARI SYNDROME ACCOMPANIED BY THROMBOGENESIS OF INFERIOR VENA CAVA
ZHAO Long-shuan,ZHAO Yong-fu,XU Pei-qin. DIAGNOSIS AND TREATMENT FOR BUDD-CHIARI SYNDROME ACCOMPANIED BY THROMBOGENESIS OF INFERIOR VENA CAVA[J]. Chinese Journal of Postgraduates of Medicine, 2000, 23(10): 18-19
Authors:ZHAO Long-shuan  ZHAO Yong-fu  XU Pei-qin
Abstract:Objective:To explore effective methods of diagnosis and treatment in Budd-Chiari syndrome accompanied by thrombogenesis of inferior vena cava.Methods:43 patients were diagnosed and treated from May 1983 to December 1998.Results:42 cases were treated by operation,one by percutaneous transluminal angioplasty.Thromboembolism of pulmonary artery were presented in 6 cases,4 cases of them were cured by drugs and 2 cases died.Conclusion:The combination of color Doppler songraphy and phlebography of IVC and percutaneous transhepatic hepatovenography can distinguish thrombosis of IVC for patients with Budd-Chiari syndrome.It is the main therapy to open IVC and take out thrombosis by operation.
Keywords:hepatic vein thrombsis  inferior vena cava  diagnosis
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