杨宁介入医学网

CERAB技术(Covered Endovascular Reconstruction of the Aortic Bifurcation technique)...

肝静脉压力梯度（HVPG）：经颈静脉插管测定肝静脉锲入压与游离压，两者之差即为HVPG，反映门V压力的大...

金标准，主动脉髂动脉旁路移植 Gold standard：aortofemoral bypass 1985-kissing balloons 1991-Kiss stents 2013- CERAB（Covered Endovascular Reconstruction of the Aortic Bifurcation） technique 现在 - unibody stent grafts 金标准：主动脉髂动脉...

淋巴介入：未来 Lymphatic Interventions-Future 将导管进入胸导管，这一前所未有的技术，除了带来有关淋巴管疾病的新认识和新疗法，也给人们一些想象的空间，淋巴介入也许可以走的更远，包括 胸导管外引流 Externalization of the Thoracic Duct Gut-Lung s...

Jean Pecquet (1622-1674) describes Thoracic duct in dogs (1651) Olaf Rudbeck (1630-1702) describes human lymphatic system (1653) Frederick Ruysch (1638-1731) describes valves in lymph vessels (1712) Kinmonth (1952) 介绍皮下美兰注射显示淋巴...

非创伤性乳糜漏病因 Non traumatic chyle leak Idiopathic Inflammation Lymphoma Waldenstrom disease Lymphangioleiomyomatosis Noonan disease Gorham disease Behcet disease 一组相关发病率报告，大多数是不明原因的 Idiopathic (n=14; 56%) Hematologi...

Ernest Starling (1894) 首次阐述肝淋巴流 E. Starling, The Influence of Mechanical Factors on Lymph Production, The Journal of Physiology, 1984 正常肝淋巴贡献胸导管30%-40%淋巴流 Normal liver lymph contributes 30-40% of the flow to the TD 每...

塑型支气管炎（Plastic Bronchitis PB)） Formation of large gelatinous or rigid branching airway casts 胸导管注射美兰 PB-TD injection with MB Itkin et al, Annals of American Thoracic Society 2016 Embolization-Lipiodol 术前 术后 成人塑型支气...

先天性淋巴管发育不良（Congenital lymphodysplasia）导致肺灌注综合征是新生儿疾病，表现为出生时全弥漫性水肿 先天性淋巴管发育不良胸导管外引流 Thoracic Duct Externalization for Congenital Lymphodysplasia Pulmonary Lymphatic Perfusion Syndrome (...

病例一 1岁 男性，淋巴瘤患者，乳糜胸引流数月，总共引流＞50升，引流管已经感染. 左侧胸水 超声引导下淋巴结穿刺 淋巴结穿刺淋巴造影 淋巴盆腔瘘 造影进入盆腔 直接淋巴管穿刺造影 对侧经淋巴结淋巴造影，造影剂外溢 漏来自双侧淋巴管，和多发异常淋巴管，...