| 潘一明谢敏△ 殷凯包善华常晓松余仔军.左侧门脉高压症并上消化道出血的诊断与治疗（附14 例临床分析）[J].,2012,12(4):662-663 |
| 左侧门脉高压症并上消化道出血的诊断与治疗（附14 例临床分析） |
| The Diagnosis and Treatment of Left-Sided Portal Hypertension with UpperGastrointestinal Bleeding |
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| DOI： |
| 中文关键词: 左侧门脉高压症 脾切除术 胃底静脉曲张 |
| 英文关键词: Left-sided portal hypertension Splenectomy Gastric varices |
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| 中文摘要: |
| 目的：探讨左侧门脉高压症合并上消化道出血的诊断和治疗方法。方法：回顾分析我院近10 年来收治的14 例左侧门脉高压
症合并上消化道出血患者的诊治措施和随访结果。结果：14 例患者均有呕血或（和）黑便史，无肝硬化、腹水及肝功能异常等表现。
14 例患者中胰体尾占位6 例，胰腺假性囊肿4 例，慢性胰腺炎4 例。14 例患者均采用手术治疗。9 例患者获得随访，定期内镜复
查，曲张静脉明显改善或消失，随访5 月～8 年均无再出血。结论：胰腺疾病病史、无肝硬化和肝功能正常、孤立性胃底静脉曲张
和脾肿大及脾亢是诊断左侧门脉高压症的基本要点。该疾病可通过脾切除术或联合胃底周围血管离断术结合原发胰腺疾病的治
疗来获得治愈。 |
| 英文摘要: |
| Objective: To explore the diagnosis and treatment of left-sided portal hypertension with upper gastrointestinal
bleeding. Methods: 14 cases of left-sided portal hypertension with upper gastrointestinal bleeding in our hospital were retrospectively
analyzed. Results: All patients had history of upper gastrointestinal bleeding, but they had no cirrhosis, ascites and abnormal hepatic
function. The underlying pancreatic diseases were pancreatic mass (n=6), pancreatic pseudocyst (n=4) and chronic pancreatitis (n=4).
Nine patients were followed up for 5 months to 8 years, and there were no rebleeding. Conclusion: Pancreatic disease history, isolated
gastric varices, splenomegalia and normal liver function could help to diagnose; left-sided portal hypertension could be cured by
splenectomy or together with extensive devascularization around the cardia, but treatment to primary pancreas disease should be
combined with. |
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