临床肝胆病杂志Issue(8)：740-742,3.DOI:10.3969/j.issn.1001-5256.2014.08.010
胰源性门静脉高压症合并上消化道出血的治疗策略
Development of optimal management of upper gastrointestinal bleeding secondary to pancreatic sinistral portal hyper-tension
宋扬 1卢昊 2刘全达2
作者信息
- 1. 解放军总医院 急诊科，北京 100853
- 2. 第二炮兵总医院 肝胆外科，北京 100088
- 折叠
摘要
Abstract
The pathogenesis of pancreatic sinistral portal hypertension (PSPH)is quite different from that of cirrhotic portal hypertension, and PSPH is the only curable type of portal hypertension.Gastric variceal bleeding is a less common manifestation of PSPH;however,it probably exacerbates the patient’s condition and leads to critical illness,and inappropriate management would result in death.Therefore,it is necessary to develop the optimal management of upper gastrointestinal bleeding in PSPH patients.Splenectomy is considered as a definitive procedure,together with surgical procedures to treat underlying pancreatic diseases.For patients in poor conditions or ineligible for surgery, splenic artery coil embolization is a preferable and effective method to stop bleeding before second-stage operation.The therapeutic decision should be made individually,and the further multi-center study to optimize the management of upper gastrointestinal bleeding from PSPH is warranted.关键词
胰腺疾病/高血压,门静脉/胃肠出血/食管和胃静脉曲张/静脉血栓栓塞/综述Key words
pancreatic diseases/hypertension,portal/gastrointestinal hemorrhage/esophageal and gastic varices/venous thrombeoembo-lism/review分类
医药卫生引用本文复制引用
宋扬,卢昊,刘全达..胰源性门静脉高压症合并上消化道出血的治疗策略[J].临床肝胆病杂志,2014,(8):740-742,3.
