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土三七致肝小静脉闭塞病诊断及治疗体会
引用本文:黄焕军,刘瑶,林菊生,李德民.土三七致肝小静脉闭塞病诊断及治疗体会[J].临床消化病杂志,2008,20(1):26-29.
作者姓名:黄焕军  刘瑶  林菊生  李德民
作者单位:华中科技大学同济医学院附属同济医院消化内科,武汉,430030
摘    要:目的 探讨肝小静脉闭塞病(hepatic veno-occlusive disesse,HVOD)的诊断及治疗效果.方法 回顾性分析我院3例土三七致HVOD患者的临床和病理特征.结果 所有患者以腹胀、腹水和肝肿大为主要表现.2例患者的组织病理学表现为肝窦扩张、瘀血、肝索挤压、萎缩、肝细胞变性坏死.结论 土三七所致肝小静脉闭塞病临床表现无特殊性,肝穿是重要的诊断方法.

关 键 词:肝小静脉闭塞病  土三七  肝穿
文章编号:1005-541X(2008)01-026-04
修稿时间:2007年10月11

The Diagnosis and Treatment of Hepatic Veno-Occlusive Disease Induced by Gynura Root
HUANG Huan-jun,LIU Yao,LIN Ju-sheng,LI De-min.The Diagnosis and Treatment of Hepatic Veno-Occlusive Disease Induced by Gynura Root[J].Chinese Journal of Clinical Gastroenterology,2008,20(1):26-29.
Authors:HUANG Huan-jun  LIU Yao  LIN Ju-sheng  LI De-min
Abstract:Objective To investigate the diagnosis and treatment of hepatic veno-occlusive disease(HVOD).Methods Clinical and pathologic features of 3 HVOD induced by gynura root were studied retrospectively.Results All the patients presented with abdominal distension,ascites and hepatomegaly.The pathologic manifestations of two patients were hepatic sinus dilation,extrusion and atrophy of cords,hepatocytes necrosis and cholestasis.Conclusion The clinical manifestations of HVOD induced by gynura root have no specificity and its diagnosis should mainly rely on liver biopsy.
Keywords:Hepatic veno-occlusive disease  Gynura root  Liver biopsy
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