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SIMULTANEOUS RIGHT-SIDED VOLUME OVERLOAD AND LEFT-SIDED HYPOVOLEMIA IN A MAN WITH MASSIVE ASCITES AND A HYDROTHORAX

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作者：
VANTHIEL, DH
NADIR, A
HASSANEIN, T
WRIGHT, HI
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AMERICAN JOURNAL OF GASTROENTEROLOGY | 1995年 / 90卷 / 03期
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R57 [消化系及腹部疾病];
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摘要：
The medical problems presented by an 83-yr-old man with hepatic amyloidosis complicated by massive ascites and a right hydrothorax are described, As a result of right atrial compression limiting right heart filling, the patient simultaneously experienced left-sided hypovolemia with renal and hepatic ischemia while manifesting signs of right-sided congestive failure. Only with a transjugular intrahepatic portosystemic shunt procedure, which eliminated the right atrial compression with resolution of the hydrothorax and ascites, was it possible to improve the other medical condition of this man.
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页码：478 / 481
页数：4
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