Refractory hydrothorax

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August undefined, 2024

WebAug 11, 2009 · Treatments of hepatic hydrothorax are similar to those of ascites, as the pathogenesis of both conditions is related. Sodium restriction and diuresis are currently the mainstay of therapy [3, 4, 6, 7]. In patients with refractory hydrothorax, recommended therapies include therapeutic thoracentesis, TIPS [8, 9], and pleurodesis [10–12]. WebRefractory Hepatic Hydrothorax Is an Independent Predictor of Mortality When Compared to Refractory Ascites Refractory HHT is a significant independent predictor of mortality and …

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Web张才铭宋小宁黄文华. 康复新液治疗难治性气胸漏气的临床实践. 张才铭1，2宋小宁2黄文华1，3∗. 目的评价康复新液对慢性阻塞性肺气肿并发难治性气胸的治疗价值和安全性。 WebJan 1, 2024 · Hepatic hydrothorax (HH) is defined as a pleural effusion, typically more than 500 mL, in patients with liver cirrhosis without coexisting underlying cardiac or pulmonary disease. 1, 2 It is an infrequent complication of portal hypertension with an estimated prevalence of 5-10% among cirrhotic patients. 2., 3. – 4 Although pleural effusion in ... flag family care clinic

Palliative Interventions in Patients With Cirrhosis With …

Webrefractory: [adjective] resisting control or authority : stubborn, unmanageable. WebFeb 17, 2016 · Pleural effusion is a relatively uncommon complication of end-stage liver disease, which occurs in less than 10% of the patients. Patients with refractory hydrothorax require more invasive management with options such as repeated thoracentesis in selected patients, which usually carries risk for pneumothorax and contamination. Many studies … WebOne therapy used for refractory hydrothorax is tunneled pleural catheters (Harris & Chalhoub, 2012), which are used for the management of refractory malignant effusions. The risk of infection is theoretically reduced because the catheters are tunneled, and it is a closed system. Furthermore, because they are designed for periodic use, the rate ... can not uninstall epic games launcher

Hydrothorax - an overview ScienceDirect Topics

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WebIn summary, 70–80% of patients with refractory hydrothorax have a good response with TIPS placement but serious adverse outcomes occur particularly in those who are most debilitated. Mortality of 20–25% can be expected in the first 45 days. Therefore, patient selection should be carefully selected avoiding patients over the age of 60, those ... WebDec 30, 2003 · Management of refractory hydrothorax is usually ineffective and can result in a worsened clinical status. Transjugular intrahepatic portosystemic shunts (TIPS) lower portal pressure and have been used in the treatment of refractory ascites. The aim of this study was to determine the efficacy of TIPS in the treatment of symptomatic refractory ... flag facsimile return to monkey islandWebAug 29, 2024 · Treatment of refractory hepatic hydrothorax with transjugular intrahepatic portosystemic shunt: long-term results in 40 patients. Eur J Gastroenterol Hepatol. 2001; 13 : 529-534 Crossref cannot uninstall epic games launcher

"WebThe indications for TIPS include refractory ascites, refractory hepatic hydrothorax, uncontrolled esophageal or gastric variceal hemorrhage and uncontrolled bleeding from portal hypertensive gastropathy while on non-selective beta blockers. 112 The absolute contraindications for TIPS include congestive heart failure, systemic infection, severe ... " - Refractory hydrothorax

Refractory hydrothorax

$Palliative Interventions in Patients With Cirrhosis With Refractory ...$

WebJan 20, 2024 · The ultimate solution to HH is liver transplantation, which is an inaccessible treatment option for majority of patients because of donor shortage. Medical management is unsuccessful in 21.7–25.9% of patients and results in refractory hydrothorax . Bedside pleurodesis is ineffective in patients with transudative pleural effusions.

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WebMay 9, 2024 · Refractory HHT is a significant independent predictor of mortality and offers additional prognostic value. Introduction Hepatic hydrothorax (HHT) is an uncommon but … WebThe TIPS may lead to a symptomatic improvement in 70–80% of patients with refractory hydrothorax. 57-60 However, shunt occlusion and hepatic encephalopathy are common complications encountered after the TIPS placement (25% and 31% of patients, respectively, in a large series). 60 The worsening of pre-existing pulmonary hypertension may also ...

WebMay 9, 2024 · The median survival for patients with refractory hepatic hydrothorax was 4.87 months while the median survival for patients with refractory ascites exceeded 1 year. The presence of HHT was ... WebHepatic hydrothorax (HH) is defined as a transudative pleural effusion, usually >500 mL, in a cirrhotic patient without an underlying cardiopulmonary or pleural disease. 1 The estimated prevalence of HH is around 4% to 6% in cirrhotics. 2 The only definitive treatment of HH is liver transplantation.Other management strategies include sodium restriction, diuretics, …

WebMar 29, 2024 · Read medical definition of Refractory. MedicineNet. Health A-Z. Diseases & Conditions Procedures & Tests Symptoms & Signs. Drugs & Supplements. RX Drugs & … WebJul 12, 2024 · Introduction. Hepatic hydrothorax is a pleural effusion in patients with cirrhotic liver disease, without cardiopulmonary disease ().It is a complication in 5–10% of patients with cirrhosis (1–3), and associated with significant morbidity (1, 4) and mortality ().The pathophysiology is believed to involve the direct movement of ascitic fluid into the …

WebHepatic hydrothorax is defined as the presence of a significant pleural effusion in the absence of a primary cardiac or pulmonary cause218,219 and has a 5% incidence in …

WebJun 25, 2024 · Hepatic hydrothorax (HH) represents a distinct clinical entity within the broader classification of pleural effusion that is associated with significant morbidity and mortality. The median survival of patients with cirrhosis who develop HH is 8–12 months. The diagnosis is typically made in the context of advanced liver disease and ascites, in the … cannot uninstall edge in win 10Web维普中文期刊服务平台，是重庆维普资讯有限公司标准化产品之一，本平台以《中文科技期刊数据库》为数据基础，通过对国内出版发行的15000余种科技期刊、7000万篇期刊全文进行内容组织和引文分析，为高校图书馆、情报所、科研机构及企业用户提供一站式文献服务。 cannot uninstall bluetooth device windows 10WebJul 8, 2024 · Options in REFRACTORY Hepatic Hydrothorax 20-30% of patients have persistent pleural effusions despite sodium restriction and diuretics. Treatment options … flag fantasy creatorWebHydrothorax is a type of pleural effusion in which transudate accumulates in the pleural cavity. This condition is most likely to develop secondary to congestive heart failure, … flag family media fargo ndWebIn patients with end-stage liver disease, transjugular intrahepatic portosystemic shunt (TIPS) implantation is considered a standardized intervention for treatment of complications due to portal hypertension, such as refractory ascites [1,2], variceal bleeding [1,3], or other severe conditions, e.g., Budd-Chiari syndrome [1,4,5], hepatorenal syndrome, and hepatic … cannot uninstall cybereasonWebJan 23, 2024 · A hepatic hydrothorax is a pleural effusion, usually greater than 500 mls, in a cirrhotic patient without evidence of primary pleural, pulmonary or cardiac disease. Typically these effusions are right sided, however, bilateral or left sided effusions are not uncommon. A small percentage of patients develop a hydrothorax in the absence of ascites. flag family fargo ndWebHepatic hydrothorax (HH) is a relatively uncommon complication in patients with end-stage liver disease, and it is defined as a transudative pleural effusion usually greater than 500 mL in a patient with portal hypertension without any other underlying primary cardiopulmonary source.1, 2, 3 Although approximately 50% of patients with end-stage ... flag family media fargo