Thoracoscopy for diagnosis and management of refractory hepatic hydrothorax  

作　　者：LIN Dian-jie ZHANG Min GAO Gui-xin LI Bin WANG Mao-fen ZHU Ling XUE Li-fu 

机构地区：[1]Department of Respiratory Diseases, Shandong UniversityShandong Provincial Hospital, Jinan 250002, China

出　　处：《Chinese Medical Journal》2006年第5期430-434,共5页中华医学杂志（英文版）

摘　　要：The prevalence of pleural effusion caused by hepatocirrhosis ranges from 0.4% to 30%. Some patients with hepatic hydrothorax （HH） fail to respond to aggressive medical management such as albumin application, diuretics, and thoracentesis, and remain refractory massive pleural fluid. The repeated suctions to relieve the symptoms such as respiratory distress are associated with significant hyponatremia and hypoalbuminemia caused by the large volumes of fluid loss. Review of the literature has revealed that, to date, no therapy is ideal. This report describes our experiments in treating HH of patients with cirrhosis and ascites by thoracoscopy and talc poudrage, to offer our efforts to approach the pathogenesis of HH and to explore the new therapeutic strategy.The prevalence of pleural effusion caused by hepatocirrhosis ranges from 0.4% to 30%. Some patients with hepatic hydrothorax （HH） fail to respond to aggressive medical management such as albumin application, diuretics, and thoracentesis, and remain refractory massive pleural fluid. The repeated suctions to relieve the symptoms such as respiratory distress are associated with significant hyponatremia and hypoalbuminemia caused by the large volumes of fluid loss. Review of the literature has revealed that, to date, no therapy is ideal. This report describes our experiments in treating HH of patients with cirrhosis and ascites by thoracoscopy and talc poudrage, to offer our efforts to approach the pathogenesis of HH and to explore the new therapeutic strategy.

关 键 词：hepatic hydrothorax THORACOSCOPY PLEURODESIS talc poudrage 

分 类 号：R656[医药卫生—外科学]