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经食管心脏超声检测右肝癌合并下腔静脉癌栓患者一例 被引量:1

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摘要 患者男,36岁,体重50 kg,美国麻醉医师协会(ASA)分级Ⅲ级,乙肝病毒携带史30余年,诊断为右肝癌,门静脉、下腔静脉癌栓形成。上腹部 CT 示肝占位,肝右后叶局部破裂同时伴有门静脉、肝右静脉及下腔静脉癌栓形成;经胸心脏彩色多普勒超声( TTE)示下腔静脉-右房入口处可见3.5 cm ×3.7 cm 的栓子,下腔静脉回流右心的血液明显受阻加速,Vmax =2.9 cm/s(图1)。拟于全麻下行保留肝中静脉的右半肝切除术+门静脉、下腔静脉癌栓取出术。
出处 《中华医学杂志》 CAS CSCD 北大核心 2016年第37期3026-3027,共2页 National Medical Journal of China
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