| 部分脾栓塞术对肝硬化门静脉高压血流动力学和肝功能的影响 |
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| 引用本文： | 李全辉,马啸,张霞. 部分脾栓塞术对肝硬化门静脉高压血流动力学和肝功能的影响[J]. 医疗卫生装备, 2006, 27(4): 64-65 |
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| 作者姓名： | 李全辉 马啸 张霞 |
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| 作者单位： | 1. 武警青海总队医院,西宁市,810000
2. 武警甘肃总队医院,兰州市,730050 |
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| 摘 要： | 目的：探讨部分脾栓塞术（PSE）对肝硬化门静脉高压血流动力学和肝功能的的影响.方法：30例肝硬化门静脉高压患者采用PSE治疗,应用彩色多普勒超声仪观察门静脉高压血流动力学指标的变化并观察门静脉高压主要相关症状变化及检测血清ALT、白蛋白变化情况.结果：PSE后门静脉高压血流动力学指标及血清ALT、白蛋白变化均显著,与术前比较,差异有显著性意义（P＜0.001）,术后4W与2W比较差异无显著性（P＞0.05）.PSE后与门静脉高压相关的主要症状及肝功能得到改善.结论：PSE对肝硬化门静脉高压血流动力学及肝功能变化有重要影响,术后可显著降低门静脉压力,此对相应症状及肝功能的改善有重要意义.
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| 关 键 词： | 脾栓塞术 肝硬化 血流动力学 肝功能 |
| 文章编号： | 1003-8868（2006）04-0064-02 |
| 收稿时间： | 2005-08-25 |
| 修稿时间： | 2006-03-17 |
Effects of partial splenic embolization (PSE) on hemodynamics in liver cirrhosis with portal hypertension and liver function |
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| LI Quan-hui,MA Xiao,ZHANG Xia. Effects of partial splenic embolization (PSE) on hemodynamics in liver cirrhosis with portal hypertension and liver function[J]. Chinese Medical Equipment Journal, 2006, 27(4): 64-65 |
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| Authors: | LI Quan-hui MA Xiao ZHANG Xia |
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| Abstract: | Objective To explore the effects of PSE on hemodynamics and Liver function in LCPH. Methods 30 patients with LCPH are treated by PSE. The hemodynamics changes of patients with LCPH are evaluated with color Doppler diasonograph. The changes of main clinical features which is related to LCPH , serum ALT and albumn were investigated . Results The hemodynamics indexs of LCPH are all changed significantly (P<0.001) after PSE, while the difference isn't statistically significant (P>0. 05) between four and two weeks after PSE. But the main symptoms, signs of LCPH and liver function are improved after PSE . Conclutions PSE plays an important role in hemdynamics and liver function of LCPH. After PSE, Portal hypertension decreases effectively and liver function is improved. |
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| Keywords: | splenic a embolization liver cirrhosis hemodynamics liver function |
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