肝癌肝动脉栓塞术后并发柏—查综合征四例报告

Budd Chiari Syndrome as Complication of HepatoceHular Carcinoma(HCC)Treated with Transcatheter Arterial Embolization

笔者介绍了肝癌碘油化疗药物肝动脉栓塞术（Ｌｐ—ＴＡＥ）后一少见而又危险的并发症──柏—查综合征。认为此症的发生主要是肝癌对下腔静脉（ＩＶＣ）的侵犯、压迫和推移导致ＩＶＣ内血栓闭塞。确诊有赖于在肝癌患者Ｌｐ—ＴＡＥ后出现迅速加重的下半身水肿、肝大、腹水和少尿时行ＩＶＣ造影。经导管ＩＶＣ尿激酶灌注血栓溶解术是治疗此并发症的有效方法。

This paper reported four cases of Budd-Chiari syndrome complicating HCC treated with Lp-TAE. The pathogenesis of the syndrome is compression and/or invasion and thrombosis of inferior vena cava,Early recognition of the symptoms,such as increasing severity of edema of the lower trunk and limbs hepatomegaly, ascites and oliguria。 Venogran of infeior vena cava is the approach for timely diagnoses.The syndrome can be relieved promptly by thrombolysis through transcatheter infir sion of urokinase.