肝癌Lp—TAE后并发柏查氏综合征（附4例报告）  

Budd Chiari Syndrome,The Complication of Hepatocellular Carcinoma(HCC)Treated with Lp TAE

作　　者：罗鹏飞[1] 邵培坚[1] 陈晓明[1] 周泽健[1] 梁振东 胡景钤[1] 

机构地区：[1]广东省人民医院放射科

出　　处：《实用放射学杂志》1994年第2期85-88,共4页Journal of Practical Radiology

摘　　要：本文介绍了肝癌碘油化疗药物肝动脉栓塞术（Ｌｐ—ＴＡＥ）后一少见而又危险的并发症—柏查氏综合征。认为此症的发生主要是肝癌对下腔静脉（ＩＶＣ）的侵犯、压迫和推移导致ＩＶＣ内血栓闭塞。确诊有赖于在肝癌患者Ｌｐ—ＴＡＥ后出现迅速加重的下半身水肿、肝大、腹水和少尿时行ＩＶＣ造影。经导管ＩＶＣ尿激酶灌注血栓溶解术是治疗此并发症的有效方法。This paper reported four cases of Budd Chiari syndrome complicating the HCC treated with Lp TAE。The pathogeneses of syndrome are invasion , compression and displacement of inferior vena cava ,reaulting inthromtheis of the vessel. Early recognition of the progressive symptoms, such as edema of the lower trunk and limbs, as-cites and oligula,and epecially cavogram are the bet approach for timely diagnoses。 The syndrome can be relieved pompt-ly by thrombelysisthrough the transcatheter in fusion of urokinase。

关 键 词：布-加综合征 肝肿瘤 癌 血栓溶解术 

分 类 号：R735.706[医药卫生—肿瘤]