抗病毒药联合Denver管治疗乙型肝炎肝硬化难治性腹水2例
Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology(2011)
Abstract
核苷(酸)类抗病毒药运用于失代偿性乙型肝炎肝硬化,可明显改善预后,延缓或避免肝移植.但伴有难治性腹水的失代偿性乙型肝炎肝硬化患者,在药物有效抑制病毒的初期,临床改善相对滞后,不少患者未等到获益,即因腹腔感染、肝肾综合征等并发症死亡[1].我们对2例乙型肝炎肝硬化难治性腹水患者行抗病毒治疗的前后,联合Denver管腹腔静脉分流术(PVS)治疗腹水,使抗病毒效果充分发挥,获得4.5 ~ 5.5年长期生存的疗效,现报道如下.
MoreKey words
Antiviral Therapy,Ascites
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