奥曲肽治疗肝硬化乳糜样腹水1例
摘要
<正>乳糜样腹水是指腹腔内积聚牛奶样或乳状富含脂质的淋巴液,多由外伤或淋巴管阻塞引起,病因复杂,临床罕见,常规治疗无效,本文报道奥曲肽治疗肝硬化乳糜样腹水1例,同时对国内外相关文献总结,以期提高临床医师对该病的认识。1病例资料患者男,61岁,因间断腹胀1年半,加重6 d入院。1年半前患者服用中药后出现腹胀伴有周身水肿,就诊于当地医院诊断为"失代偿期肝硬化",1年前就诊于本院,表现为腹胀、呼吸困难,查体腹部明显膨隆,给予
引文
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[7]Yarmohammadi H,Brody LA,Erinjeri JP,et al.Therapeutic application of percutaneous peritoneovenous(denver)shunt in treating chylous ascites in cancer patients[J].JVasc Interv Radiol,2016,27(5):665-673.
[8]Xiu LJ,Yan B,Qin ZF,et al.Chylous ascites treated by traditional Chinese herbal medicine:A case report and discussion[J].Complement Ther Med,2015,23(1):63-67.
[9]Liu CJ,Sun AX,Shi XY,et al.Cirrhosis-related chylous ascites successfully treated with splenic artery embolization[J].J Vasc Interv Radiol,2016,27(11):1739-1741.
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[11]胡丽娟,王丽晶,简易成,等.奥曲肽治愈肝硬化乳糜性腹水1例并文献复习[J].临床肝胆病杂志,2012,28(8):624-625.
[12]卢婷,赖铭裕,唐国都,等.乙型肝炎后肝硬化并发乳糜性胸腹水1例[J].世界最新医学信息文摘,2018,18(24):208+211.
[13]龚运兵,邓永明,次仁元旦.肾病综合征合并乳糜性腹水1例[J].西南军医,2008,10(2):57.
[14]盖全武.肾病综合征致乳糜性腹水1例[J].中国实用内科杂志,1994,14(8):504.
[15]邓菲,冯静,张亚玲,等.以大量乳糜样腹水为主要症状的原发性肾病综合征1例报告[J].贵州医药,2016,40(9):968-969.
[16]邢建卫.醋酸奥曲肽治疗乳糜样腹水的临床疗效观察[J].健康前沿,2018,27(6):132.
[2]何振平.乳糜腹水的诊断与治疗[J].外科理论与实践,2004,9(2):150-152.
[3]Yunis EJ,Moran TJ.Chylothorax and portal cirrhosis[J].JAMA,1965,192:250-251.
[4]周俊强,田勇涛,王健.肝硬化胆囊切除术后乳糜腹水死亡1例分析[J].中国误诊学杂志,2008,8(29):7274-7275.
[5]刘揆亮,孙宇光,夏松,等.肝硬化合并乳糜性腹水34例临床特点分析[J].中华消化杂志,2014,34(2):96-99.
[6]孙朝兵,万圣云,丁洋,等.乳糜腹水的病因及诊治的研究进展[J].中国热带医学,2011,11(10):1292-1294.
[7]Yarmohammadi H,Brody LA,Erinjeri JP,et al.Therapeutic application of percutaneous peritoneovenous(denver)shunt in treating chylous ascites in cancer patients[J].JVasc Interv Radiol,2016,27(5):665-673.
[8]Xiu LJ,Yan B,Qin ZF,et al.Chylous ascites treated by traditional Chinese herbal medicine:A case report and discussion[J].Complement Ther Med,2015,23(1):63-67.
[9]Liu CJ,Sun AX,Shi XY,et al.Cirrhosis-related chylous ascites successfully treated with splenic artery embolization[J].J Vasc Interv Radiol,2016,27(11):1739-1741.
[10]Huang Q,Ge BJ,Liu LM,et al.Successful management of chylous ascites with total parenteral nutrition,somatostatin,and fibrin glue[J].中华医学杂志(英文版),2007,120(20):1847-1849.
[11]胡丽娟,王丽晶,简易成,等.奥曲肽治愈肝硬化乳糜性腹水1例并文献复习[J].临床肝胆病杂志,2012,28(8):624-625.
[12]卢婷,赖铭裕,唐国都,等.乙型肝炎后肝硬化并发乳糜性胸腹水1例[J].世界最新医学信息文摘,2018,18(24):208+211.
[13]龚运兵,邓永明,次仁元旦.肾病综合征合并乳糜性腹水1例[J].西南军医,2008,10(2):57.
[14]盖全武.肾病综合征致乳糜性腹水1例[J].中国实用内科杂志,1994,14(8):504.
[15]邓菲,冯静,张亚玲,等.以大量乳糜样腹水为主要症状的原发性肾病综合征1例报告[J].贵州医药,2016,40(9):968-969.
[16]邢建卫.醋酸奥曲肽治疗乳糜样腹水的临床疗效观察[J].健康前沿,2018,27(6):132.