广州医药2025，Vol.56Issue(2)：247-251,267,6.DOI:10.20223/j.cnki.1000-8535.2025.02.016
胰源性门静脉高压的临床诊断和治疗研究进展
Progress in clinical diagnosis and treatment of pancreatic segmental portal hypertension
摘要
Abstract
Pancreatic segmental portal hypertension(PSPH)is a clinical syndrome caused by spleen vein(SV)occlusion or stenosis.It is a rare and life-threatening hemorrhagic disease of the upper digestive tract,but it is the only curable type of portal hypertension.The main cause is primary pancreatic disease,which is usually due to acute or chronic pancreatic inflammation,pancreatic space-occupying lesions and pancreatic surgery.Type 1 isolated esophagogastric varices,splenomegaly and hypersplenism are the main clinical features of PSPH,and esophagogastric variceal bleeding is the most serious complication of PSPH.PSPH should be considered in patients with normal liver function but unexplained splenomegaly accompanied by gastrointestinal bleeding.The treatment of PSPH can be divided into a comprehensive diagnosis and treatment of primary pancreatic disease,portal hypertension and complications.Therefore,the purpose of this paper is to review relevant literature of PSPH,the relevant clinical diagnosis and treatment status quo were summerized,in order to guide the medical workers in clinical PSPH,early detection and timely and effective treatment for patients.关键词
胰源性门静脉高压/脾静脉/胰腺炎/胰腺肿瘤/超声内镜Key words
pancreatic segmental portal hypertension/splenic vein/pancreatitis/pancreatic neoplasms/endoscopic ultrasonography引用本文复制引用
王灏,袁宏伟,刘校伸,杜磊,王志鑫..胰源性门静脉高压的临床诊断和治疗研究进展[J].广州医药,2025,56(2):247-251,267,6.基金项目
国家临床重点专科建设项目青海大学附属医院肝胆外科(包虫病)(青卫健办-125号) （包虫病）
