奥曲肽治愈肝硬化乳糜性腹水1例并文献复习

胡丽娟; 王丽晶; 简易成; 熊伍军

奥曲肽治愈肝硬化乳糜性腹水1例并文献复习

同济大学附属东方医院消化内科

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中图分类号: R575.2
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出版历程
- 出版日期: 2012-08-20

Efficacy of octreotide treatment for chylous ascites after liver cirrhosis: A case report and literature review

摘要

摘要: <正>乳糜性腹水临床上较罕见,系腹水内积聚大量乳糜微粒,其病因多样,肝硬化是常见病因之一,肝硬化患者一旦出现乳糜性腹水往往为难治性,常规治疗效果不佳,病死率高[1-2]。我们报道在常规治疗基础上加用奥曲肽治愈肝硬化乳糜性腹水1例,并针对乳糜性腹水进行国内外文献复习,以加强临床医生对该疾病的诊治认识。
- 肝硬化 /
- 乳糜性腹水 /
- 奥曲肽
- liver cirrhosis /
- chylous ascites /
- octreotide

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参考文献(13)

[1]吕超, 王雨田.肝硬化乳糜性腹水治疗进展[J].国际消化病杂志, 2008, 28 (2) :106-108.

[2]王秀茹.乳糜腹水247例国内文献分析[J].临床消化病杂志, 2009, 21 (1) :41-43.

[3]Yildirim AE, Altun R, Can S, et al.Idiopathic chylous ascites treated with total parenteral nutrition and octreotide.A case report and review of the literature[J].Eur J Gastroenterol Hepatol, 2011, 23 (10) :961-963.

[4]莫国生, 张金龙, 吴子龙, 等.腹水浓缩超滤回输腹腔治疗乳糜性腹水[J].中华现代内科学杂志, 2004, 1:243-244.

[5]陈先锋, 龚建平, 李旭宏, 等.腹腔镜治疗乳糜性腹水1例[J].中国微创外科杂志, 2005, 5 (7) :600.

[6]Lefrou L, d'Alteroche L, Harchaoui Y, et al.Peritoneovenous shunt after failure of octreotide treatment for chylous ascites in lymphangioleiomyomatosis[J].Dig Dis Sci, 2007, 52 (11) :3188-3190.

[7]De Vries GJ, Ryan BM, De Bièvre M, et al.Cirrhosis related chylous ascites successfully treated with TIPS[J].Eur J Gastroenterol Hepatol, 2005, 17 (4) :463-466.

[8]郎诗民, 钟麟, 李福玉, 等.儿童乳糜腹水大隐静脉倒转分流术[J].中华小儿外科杂志, 2001, 22 (4) :242.

[9]张卫国, 曲明, 姜田军, 等.肝移植治疗肝硬化并发乳糜胸、乳糜腹一例[J].中华器官移植杂志, 2005, 26 (5) :311-312.

[10]Zhou DX, Zhou HB, Wang Q, et al.The effectiveness of the treatment of octreotide on chylous ascites after liver cirrhosis[J].Dig Dis Sci, 2009, 54 (8) :1783-1788.

[11]Mishra R, Kumar S.Octreotide in congenital chylous ascites an avoid requirement of total parenteral nutrition[J].Indian J Gastroenterol, 2007, 26 (6) :299-300.

[12]Ijichi H, Soejima Y, Taketomi A, et al.Successful manage-ment of chylous ascites after living donor liver transplantation with somatostatin[J].Liver Int, 2008, 28 (1) :143-145.

[13]Baiocchi G, Faloppa CC, Araujo RL, et al.Chylous ascites in gynecologic malignancies:cases report and literature review[J].Arch Gynecol Obstet, 2010, 281 (4) :677-681.

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