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区域性门静脉高压症的诊治分析(附8例报告)
引用本文:陈祥松,成亚农,殷锡昌,孙江陵,梁志勇,沈国定. 区域性门静脉高压症的诊治分析(附8例报告)[J]. 医疗保健器具, 2009, 16(12): 80-81
作者姓名:陈祥松  成亚农  殷锡昌  孙江陵  梁志勇  沈国定
作者单位:江苏省扬州洪泉医院,普外科,江苏,扬州,225200
摘    要:目的探讨区域性门脉高压症(RPH)的诊断和治疗。方法回顾性分析8例RPH的临床表现、病因、诊断和治疗方式。结果RPH主要病因为慢性胰腺炎、假性囊肿和胰体尾肿瘤等。8例中有7例出现上消化道出血,8例均有脾功能亢进的表现。8例均行脾切除手术,其中2例加行贲门周围血管离断术。结论诊断区域性门静脉高压症并不困难,对原发病灶治疗同时加脾切除疗效较好。

关 键 词:区域性门静脉高压症  胰腺  诊断  治疗

Diagnosis and Management of Regional Portal Hypertension: A Report of 8 Cases
Affiliation:CHEN Xiang-song, CHENG Ya-nong, YIN Xi-chang, et al (Deportment of General Surgery, Hongquan Hospital of Yangzhou, Yangzhou 225200, China)
Abstract:Objective To summarize the experience of diagnosis and management of regional portal hypertension(RPH). Methods The clinical manifestations, diagnostic methods and therapeutic modalities of 8 cases of regional portal hypertension were analyzed retrospectively. Results The primary pathogenies of RPH were chronic pancreatitis, pseudo cyst and tumour located at pancreatic body and tail. 7 cases with upper gastrointestinal hemorrhage, hypersplenia were accompanied in all 8 cases. Splenectomy were performed in 8 cases, ex tensive devascularization around the cardia performed in 2 cases. Conclusion It is not difficult to diagnose regional portal hypertension. Splenectomy is recommended for primary lesion.
Keywords:Regional portal hypertension(RPH)  Pancreas  Diagosis  Treatment
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