返回 2008年第31卷第3期 目录

Budd-Chiari综合征的诊治（附17例报告）

曾　宏，刘　勇，何延政，何春水，周翔宇，钟　武，杨　辉

（泸州医学院院附属医院血管外科， 四川泸州 646000）

摘 要 目的：提高Budd-Chiari综合征的诊断和治疗水平。方法：分析总结17例Budd-Chiari综合征的临床资料并复习相关文献。结果：17例均经上下腔静脉联合造影明确诊断。1例行下腔静脉和右心房人造血管转流；1例行同种异体原位肝移植，1例球囊扩张；8例球囊扩张并置支架；1例有血栓形成行溶栓治疗，其余5例因各种原因放弃继续治疗。结论：Budd-Chiari综合征四川并非罕见，内科保守治疗无效，应实施手术或介入治疗，具体应根据造影结果选择合适的治疗手段。

关键词 Budd-Chiari综合征；诊断；治疗

DIAGNOSIS AND TREATMENT OF BUDD-CHIARI SYNDROME

(A REPORT OF 17 CASES)

Zeng Hong,et al

Department of Vascular Surgery,the Affiliated Hospital of Luzhou Medical College

Abstract Objective：To study the diagnosis and treatment of Budd-Chiari syndrome (BCS). Methods：17 cases with BCS between 2007.7~2007.10 and related literatures were retrospectively reviewed. Results：9 cases were treated with percutaneous transfemoral venous ballon dilatation and stent placement,One patient with right atrium-inferior vena cava shunt.One case with low molecule weight heparin (LMWH) anticoagulation and urokinase thrombolysis therapy. The rest gave up continuous treatment themselves. Conclusion:BCS is not rare in Sichuan province.Conservative treatment with medicine is inefficient. Surgical operation and interventional therapy are necessary.

Key words Budd-Chiari syndrome;Diagnosis;Treatment