心肾综合征合并心源性肝硬化伴阴囊水肿一例  

A case report of cardiorenal syndrome accompany with cardiogenic cirrhosis and scrotal edema

作　　者：程洁 王倩 李自昂 劳垚佳 黄凯 牟娟丽 林军[1,2,3] Jie CHENG;Qian WANG;Zi-Ang LI;Yao-Jia LAO;Kai HUANG;Juan-Li MOU;Jun LIN(Department of Gastroenterology,Zhongnan hospital of Wuhan University,Wuhan 430071,China;Hubei Clinical Center of Intestinal and Colorectal Diseases,Wuhan 430071,China;Hubei Key Laboratory of Intestinal and Colorectal Diseases,Wuhan 430071,China)

机构地区：[1]武汉大学中南医院消化内科,武汉430071 [2]湖北省肠病医学临床研究中心,武汉430071 [3]肠病湖北省重点实验室,武汉430071

出　　处：《医学新知》2021年第6期478-482,共5页New Medicine

基　　金：湖北省中央引导地方科技发展专项(2020ZYYD012)。

摘　　要：心肾综合征(cardiorenal syndrome,CRS)是心力衰竭和肾脏疾病之间相互作用后导致的恶性循环,预后极差。本文回顾1例有风湿性心脏病瓣膜置换及修补术史,入院诊断为CRS合并心源性肝硬化及阴囊重度水肿的患者,予以多次血液净化治疗后出院,随访至出院后3个月患者死亡。提示对于丧失手术机会的CRS合并心源性肝硬化患者,血液净化治疗短期效果尚可,长期预后仍需更多的病例观察。Cardiorenal syndrome(CRS)is a vicious circle caused by the interaction between heart failure and kidney disease having a poor prognosis.We have reviewed a case of a patient with rheumatic heart disease valve replacement and repair surgery,diagnosed on admission as having CRS,combined with cardiogenic liver cirrhosis and severe scrotal edema.He was discharged after repeated blood purification treatments.The patient died within the three months following after discharge.It is suggested that for patients with CRS and cardiogenic liver cirrhosis for whom surgery is no longer an option,the short-term effect of blood purification treatment is acceptable,however the long-term prognosis still needs more case observation.

关 键 词：心肾综合征 肝硬化 阴囊肿大 血液净化 

分 类 号：R541[医药卫生—心血管疾病] R692[医药卫生—内科学] R575.2[医药卫生—临床医学]