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1974年,LeVeen 等介绍了一种腹腔-静脉引流腹水的新方法。本文报道用 LeVeen 氏法治疗的最初18例病人的结果。顽固性腹水患者18例(男13,女5)平均年龄50(32～72)岁,其中酒精性肝硬化16例,慢活肝和慢性 Budd-Chiari 氏综合征各1例。按 Child 氏标准分类,11例属 B 组,7例属 C 组。18例中有12例出现肾功能衰竭的生化指标,所有腹水均为无菌性。方法在肋缘下作一小切口后放入 LeVeen 氏活瓣导管,经皮下由颈内静脉插入(深约8～12cm),用单股丝线固定于静脉壁,术后即试验活瓣的性能,
In 1974, LeVeen et al introduced a new method of peritoneal-venous drainage of ascites. This article reports the results of the first 18 patients treated with LeVeen’s method. 18 patients (13 males and 5 females) with refractory ascites had a mean age of 50 (32-72) years, including 16 with alcoholic cirrhosis, 1 with slow-living liver and chronic Budd-Chiari’s syndrome. By Child’s standard classification, 11 cases belong to group B, 7 cases belong to group C. Twelve of the 18 patients developed biochemical markers of renal failure and all ascites was sterile. Methods A small incision was made in the rib margin and placed in a LeVeen’s valve catheter. The catheter was inserted into the jugular vein subcutaneously (8 to 12 cm deep) and fixed with a monofilament strand to the vein wall. The performance of the valve ,