在患有耐火性左侧肝脏水胸腺瘤的患者中使用内置的胸腔导管
Anna Hayes1, Emma McCormick2, Mairead McNally2
1Gastroenterology, Midlands Regional Hospital Tullamore, Tullamore, Ireland annawhayes93@gmail.com.
BMJ case reports
|March 19, 2025
概括
本案例研究突出显示,在酒精性肝硬化患者中,成功使用内置性胸膜导管 (IPC) 治疗复发性肝硬化 (HH) 病例. 这种方法为难以治疗的肝病并发症提供了有效的门诊解决方案.
科学领域:
- 胃肠病学和肝病学
- 肺部病理学 肺部病理学
- 干预程序 干预程序
背景情况:
- 肝脏水胸 (HH) 是不补偿性肝硬化的一种严重并发症,通常不耐标准治疗.
- 之前的左半膜损伤使这位患者的治疗复杂化.
- 利尿剂治疗受到低血症的限制,需要使用替代的治疗策略.
研究的目的:
- 报告在爱尔兰首次使用内置性胸膜导管 (IPC) 治疗肝脏胸水 (HH).
- 为了证明IPC在治疗酒精性肝硬化患者中耐火性HH的疗效.
主要方法:
- 一名患有不补偿性肝硬化和酒精性肝炎的患者出现左侧肝脏水胸.
- 经常性胸腔缩和利尿剂管理不足.
- 插入一个内置的胸腔导管 (IPC) 进行了连续的胸腔液排水.
主要成果:
- 内置的胸腔导管 (IPC) 有助于有效管理复发性肝脏胸水.
- 通过通过IPC进行例行排水,成功实现了输出的门诊管理.
- 这代表了在爱尔兰背景下HH的新治疗方法.
结论:
- 住院膜导管 (IPC) 是一种可行且有效的选择,用于治疗无偿性肝硬化患者的耐火性肝脏水胸 (HH).
- IPC插入为与肝脏疾病相关的复发性肺液提供了可管理的门诊解决方案.
- 这一案例强调了IPC在改善晚期肝病和HH患者的生活质量方面的潜力.
相关概念视频
Endoscopic Studies II: Thoracocentesis
183
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
183
Pneumothorax-II
111
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
Clinical Manifestations:
111
Pleural Effusion II: Symptoms and Management
144
Pleural Effusion Overview
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
A pleural effusion is the abnormal collection of fluid between the parietal and visceral pleura layers of tissue that form the lining of the lungs and chest cavity. It can occur independently or due to surrounding parenchymal diseases, such as infection, malignancy, or inflammatory conditions.
Clinical Manifestations:
144
Flail Chest-II
151
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
151


