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门静脉血栓形成

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Patients were treated after 1999 using peripheral anticoagulant therapy plus enterectomy and transmesenteric arterial catheterized and thrombolytic therapy with urokinase,no patient died.

急性门静脉系静脉血栓形成应尽早诊治,选择性肠系膜上动脉造影并留置导管持续给予溶栓治疗是一具有诊断与治疗双重作用的好方法

Objective To investigate the cause, prevention and treatment of portal vein thrombosis following pericardial devascularization with splenectomy.

目的 探讨门静脉高压症患者行贲门周围血管离断术后门静脉系统血栓形成的原因、预防和治疗方法。

Objective To investigate the relationship between portal vein thrombosis and post-splenectomy fever in patients with portal hypertension.

目的 探讨脾切除术后门静脉血栓形成与持续发热的关系。

Objective To discuss the diagnosis and treatment of portal vein thrombosiscaused by hepatic cirrhosis.

目的 探讨肝硬变病人门静脉系统血栓形成的诊断和治疗。

Objective To explore the risk factors of portal system thrombosis after splenectomy in patient with portal hypertension.

目的 探讨门静脉高压症患者脾切除术后门静脉系统血栓形成的危险因素。

Methods A total of 300 patients was undergone splenectomy in the study. Portal system thrombosis occurred in 40 of 300 patients.

目的 探讨门静脉高压症患者脾切除术后门静脉系统血栓形成的危险因素。

Portal braches of 4-5 orders were found in all 19 cases of Child Grade I, with esophageal varices and paragastric varices and no fistula of hepatic artety-portal vein or portal vein embolus; Portal braches of 3-4 orders were displayed in all 16 cases of Child Grade II, besides esophageal varices and paragastric varices, cirsomphalos, retroperitoneal varices, paraesophageal varices, dilated azygos vein were also noted, some patients had fistula and portal vein embolus; in Child Grade III, portal branches of 3~4 orders were displayed with more collateral circulations, dilated left renal vein and paragallbladder varices were appeared, with fistula and portal vein embolus or not.

Child I级19例,肝内门静脉显影4~5级,侧枝循环以食管及胃周静脉曲张为主,没有肝动脉-门静脉瘘或门静脉血栓形成;Child Ⅱ级16例,肝内门静脉显影3~4级,侧枝循环除食管及胃周静脉外,脐周静脉、腹膜后静脉、食管周围静脉、奇静脉也有所开放,部分有肝动脉-门静脉瘘或门静脉血栓形成;Child Ⅲ级6例,肝内门静脉显影3~4级,侧枝循环开放较Ⅱ级增多,可出现左肾静脉扩张或胆囊周围静脉曲张,伴或不伴有肝动脉-门静脉瘘或门静脉血栓形成。16排螺旋CT门静脉造影对上述病例分级为一级17例,二级18例,三级6例,与Child分级结果高度相关。

MAIN OUTCOME MEASURES: Adjusted rate ratios for all first time deep venous thrombosis, portal thrombosis, thrombosis of caval vein, thrombosis of renal vein, unspecified deep vein thrombosis, and pulmonary embolism during the study period.

主要观察指标:研究期间全部首次深静脉血栓形成、门静脉血栓形成、腔静脉血栓形成、肾静脉栓塞、非特异性深静脉血栓形成和肺栓塞调整比率。

Aims: to assess prospectively the extent of, and predictive factors for recanalization of acute non-cirrhotic, non-malignant PVT. Between 2003 and 2006, patients were prospectively enrolled in 9 European countries, if there was radiographic evidence for a recent thrombus in the portal vein trunk or one of its main branches, and absence of cavernoma.

目的:前瞻性的估计急性非硬化非恶性门静脉血栓形成的程度和血管再通的预测因子。2003-2006年期间,前瞻性的纳入9个欧洲国家的患者,要求其在门静脉主干或一个主要分支有新近血栓的X射线证据并且无海绵状血管瘤。

This operation is suitable for the following portal hypertension: simple occlusion of hepatic vein (a pathological type of Budd-Chiari syndrome)thrombosis in portal vein or prehepatic portal hypertension due to cavernous transformation; intrahepatic portal hypertension with rebleeding after treatment of splenectomy or without operation, and the patients with liver function in Child A or B class.

本手术主要适应于以下原因引起的门静脉高压:①单纯化肝静脉闭塞(布-加综合征的一种病理类型);②门静脉主干血栓形成成海绵样变性引起的肝前性门静脉高压;③肝内型门静脉高压行断流术后再发出血或未行手术,肝功能为Child A和B级者。

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