보상성 간경변 환자에서 복막 투석액의 흉강누출 1예
The cirrhotic patients with ascites present unique challenge to the renal caregiver. Hydrothorax in a cirrhotic patient treated with PD poses a diagnostic dilemma. Proposed mechanisms for the development of a pleuro-peritoneal communication include congenital diaphragmatic defects, acquired weakenin...
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Veröffentlicht in: | Kosin Medical Journal (Online) 2014, 29(1), , pp.53-57 |
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Hauptverfasser: | , , , |
Format: | Artikel |
Sprache: | kor |
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Online-Zugang: | Volltext |
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Zusammenfassung: | The cirrhotic patients with ascites present unique challenge to the renal caregiver. Hydrothorax in a cirrhotic patient treated with PD poses a diagnostic dilemma. Proposed mechanisms for the development of a pleuro-peritoneal communication include congenital diaphragmatic defects, acquired weakening of diaphragmatic fibers caused by high intra-abdominal pressures during peritoneal dialysis, and impairments in lymphatic drainage. Pleural fluid analysis and diagnostic imaging assist in differentiation from other causes of pleural effusion. We report a case of hydrothorax in a compensated cirrhotic patient after recent introduction to peritoneal dialysis. KCI Citation Count: 0 |
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ISSN: | 2005-9531 2586-7024 |
DOI: | 10.7180/kmj.2014.29.1.53 |