https://scholars.lib.ntu.edu.tw/handle/123456789/493593
標題: | The morphology of diaphragmatic defects in hepatic hydrothorax: Thoracoscopic finding | 作者: | PEI-MING HUANG YIH-LEONG CHANG CHING-YAO YANG Lee Y.-C. |
公開日期: | 2005 | 卷: | 130 | 期: | 1 | 起(迄)頁: | 141-145 | 來源出版物: | Journal of Thoracic and Cardiovascular Surgery | 摘要: | Background: Until now, the pathophysiology of hepatic hydrothorax has been moot. We discuss (on the basis of gross videothoracoscopy findings in 11 cases and the literature) the pathogenesis and clinical presentation of this complex condition. Methods: We prospectively studied 11 patients (age, 31-73 years; 6 men and 5 women) with refractory hepatic hydrothorax (Child-Pugh class B-C) who underwent thoracoscopic repair of diaphragmatic defects. The diaphragmatic defects were examined intraoperatively. Results: The diaphragmatic defects stemming from hepatic hydrothorax were classified into 4 morphologic types: type I, no obvious defect (1 patient); type II, blebs lying on the diaphragm (4 patients); type III, broken defects (fenestrations) in the diaphragm (8 patients); and type IV, multiple gaps in the diaphragm (1 patient). The type of diaphragmatic defect did not correlate with the volume occupied by the pleural effusion in the preoperative chest radiograms. Conclusions: The finding of this study allowed hepatic hydrothorax pathophysiology to be directly visualized, and further studies concerning the treatment of hepatic hydrothorax might be based on these mechanisms. Copyright ? 2005 by The American Association for Thoracic Surgery. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-21744439638&doi=10.1016%2fj.jtcvs.2004.08.051&partnerID=40&md5=ccfdfde6ed38f35a2ab11c3a3c3af851 https://scholars.lib.ntu.edu.tw/handle/123456789/493593 |
ISBN: | 15999054 | ISSN: | 0022-5223 | DOI: | 10.1016/j.jtcvs.2004.08.051 | SDG/關鍵字: | adult; aged; article; clinical article; correlation analysis; diaphragm disease; female; fenestration; human; hydrothorax; male; morphology; pathophysiology; peroperative care; pleura effusion; priority journal; prospective study; radiography; thoracoscopy; Aged; Diaphragm; Female; Humans; Hydrothorax; Liver Cirrhosis; Male; Middle Aged; Prospective Studies; Thoracoscopy |
顯示於: | 醫學系 |
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