摘要
对2004年8月至2007年2月复旦大学附属中山医院收治的135例布-力口综合征患者进行回顾性分析。结果示135例患者中继发于恶性肿瘤105例（77．8％），无确切继发病因者29例（21．5％）；其临床表现以黄疸（69．6％）、腹水（48．2％）、腹胀（40．7％）、下肢水肿（37．O％）为多见；可出现胆红素升高、凝血酶原时间延长、血清γ-谷氨酰转移酶升高；非创伤性辅助检查中可选择彩色多普勒血管超声、CT和MRI，阳性率分别为59．5％、69．5％、81．5％；血管造影术是诊断布-力口综合征的金标准；治疗方法以经皮血管内支架植入和（或）球囊扩张术为主，辅以溶栓、抗凝、抗血小板聚集和保肝、支持等内科治疗。提示布-力口综合征是一种临床综合征，但由于发病原因复杂、临床表现多样、实验室检查缺乏特异性，临床诊断难度增加。而血管造影术和支架植入治疗是行之有效的诊治方法。
A total of 135 patients diagnosed with Budd-Chiari syndrome （BCS）during August 2004 and February 2007 were reviewed and analyzed retrospectively. The results showed that 105 subjects （77.8%） caused by malignances, while 29 participants （21.5%） had no definite pathogens. The most commonly seen symptom included jaundice （69.6%）, followed by ascites （48.2%）, abdominal distention （40.7%） and lower extremity edema （37.0%）. Higher levels of STB, PT and γ-GT were determined. Color Dopple ultrasound, CT and MRI could be helpful in diagnosing BCS; angiography remained the most accurate measurement. Main treatment strategies were stent implantation and/or balloon dilation. BCS is a clinical syndrome with no typical symptoms, which makes its management very difficult. A complete understanding of the condition will help reduce misdiagnosis. Angiography and stent implantation are primary ways to diagnose or treat BCS.
出处
《中华全科医师杂志》
2008年第5期333-335,共3页
Chinese Journal of General Practitioners
关键词
肝静脉血栓形成
诊断
治疗
Hepatic vein thrombosis
Diagnosis
Treatment
