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布加综合征(Budd-Chiari syndrome)系肝脏静脉流出道梗阻所致,根据梗阻部位分为肝小静脉、肝大静脉和下腔静脉(IVC)3型,前两型又统称单纯肝静脉型。布加综合征的肾脏损害常被忽视,在肾脏损害的病因分析中也很少考虑到这一因素。我院1991～t997年共收治布加综合征24例,其中单纯肝静脉型5例与病情较轻的IVC 2例无肾脏损害表现,余17例(70.8％)IVC病人有不同程度的肾脏损害,现对该17例作一分析,以探讨布加综合征肾脏损害的临床表现、发病机制、诊断及治疗。
Budd-Chiari syndrome is caused by outflow tract obstruction of the hepatic vein, which is divided into small hepatic vein, large hepatic vein and inferior vena cava (IVC) type 3 according to the site of obstruction. The former two types are also referred to as simple hepatic vein . Kidney damage in Budd-Chiari syndrome is often overlooked and is rarely taken into account in the etiological analysis of kidney damage. In our hospital from 1991 to t997, we received 24 cases of systolic dyspnea syndrome. Among them, 5 cases of pure hepatic vein type and 2 cases of less severe IVC showed no renal damage, and 17 cases (70.8%) of IVC patients had varying degrees of renal damage , Is now an analysis of the 17 cases to investigate the clinical manifestations of Bujau syndrome, renal damage, pathogenesis, diagnosis and treatment.