摘要
目的 :探讨原发性肾病综合征合并布加综合征的病因、发病情况、临床特点及治疗方案。方法 :对2 0 0 1-2 0 0 4年 16例原发性肾病综合征合并布加综合征的临床资料进行回顾性分析。结果 :原发性肾病综合征合并布加综合征为血栓形成所致 ,起病急 ,表现为肝脾肿大、进行性顽固性腹水、上腹痛、消化道出血、水肿等。积极治疗原发病 ,溶栓抗凝治疗能促进腹水消退 ,防治肝肾功能衰竭 ,防治血管狭窄 ,缩短病程。介入治疗尤其局部溶栓术在短期内更能明显改善患者临床症状和实验室指标。结论 :临床上应提高对本综合征的认识 ,对疑似病例应尽早做相关影像学检查以明确诊断 ,并根据病情制定恰当的治疗方案。
Objective To investigate the pathogeny, clinical feature and treatment of patients with primary nephronic syndrome and Budd-Chiari syndrome. Methods Clinical data of 16 cases with primary nephronic syndrome and Budd-Chiari sy ndrome between 2001 and 2004 were analyzed retrospectively. Results Primary nephronic syndrome and Budd-Chiari syndrome was resulted from thrombosis, it’s urgent and present as hepatomegaly, splenome ga ly, progressive and obstinate ascites, upper bellyache, hemorrhage of digestive tract, edema, ect. Treatments for primary diseaes, thrombolytic and anticoagulan t treatments can prompt the fadeaway of ascites, prevent and treat hepatic failu re, renal failure and stenosis of blood vessels. It also can shorten the course of disease. Interventional treatment, especially local thrombolytic treatment, c an markedly improve the clinical symptoms and laboratory data. Conclusion Physicians should pay more attention to the disease and administer correlative i mage examinations as soon as possible to confirm the diagnosis and to make reaso nable treatments.
出处
《实用医学杂志》
CAS
2004年第11期1260-1262,共3页
The Journal of Practical Medicine
