中心静脈栄養カテーテルを用いた体外式Ｐｅｒｉｔｏｎｅｏ‐ｖｅｎｏｕｓ　ｓｈｕｎｔｉｎｇの適応と問題点

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タイトル別名
  • Indications and problems of extracorporeal peritoneo-venous shunting using intravenous hyperalimentation catheter
  • チュウシン ジョウミャク エイヨウ カテーテル オ モチイタ タイガイシキ P

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説明

A 68-year-old woman whoes ascites was refractory to intensive medical care of three weeks in a hospital was reported. In this case, we costituted peritoneo-venous (PV) shunt extracorporeally using hyperalimentation (IVH) catheter and had a good response in urine output and abdominal girth. Alleviation of the abdominal distension led to increased oral intake and improved nutritional condition. But no one way valve in the shunt system let the venous blood regurgitate into the IVH catheter and obliterate it as the intraabdominal pressure decreased. PV shuntings had been performed four times until the shunt device of LeVeen was obtained. But during the fourth trial, the patient was complicated with bacterial peritonitis and died of endotoxin shock. Extracorporeal PV shunting can be performed with ease in the routine clinic but cannot be free from infection in the prolonged use. Therefore, it should be employed as a preliminary management of LeVeen shunt.

収録刊行物

  • 肝臓

    肝臓 22 (11), 1597-1602, 1981

    一般社団法人　日本肝臓学会

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