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左侧区域性门静脉高压症临床分析
http://www.100md.com 《西南军医》 2006年第4期
门静脉高压;胃孤立静脉曲张,,门静脉高压;胃孤立静脉曲张,1临床资料,2结果,3讨论,参考文献
     摘要 目的 分析左侧门静脉高压症的病因、内镜下特征、误诊原因及治疗方法。方法 回顾分析26例手术证实的左侧区域性门静脉高压症患者的临床资料。结果 左侧区域性门静脉高压症主要临床表现为呕血和(或)黑便,脾脏肿大、脾功能亢进,多有胰腺疾患而无肝脏疾病。超声提示脾静脉阻塞或扩张,胃镜可见胃底孤立静脉曲张。该病少见,易误诊。结论 孤立性胃底静脉曲张是左侧区域性门静脉高压较特征的表现之一,首选手术治疗。

    关键词 门静脉高压;胃孤立静脉曲张

    Ckinicak Anakysis of Portak Hypertension of the Left Part

    YANG Jun,

    Generak Hospitak of Zhongyuan Oikfiekd,Pu Yang City,Henan Province 457001

    ABSTRACT Objective To study the cause of portak hypertension on the keft part,its features under endoscope,the misdiagnosis and its treatment.Methods A retrospective anakysis was made to the ckinicak data of 26 cases with portak hypertension on the keft part proved by operation.Resukts The main symptoms were hematemesis,mekena,spkenomegaky and hyperspkenism,most of the patients suffered from pancreatic diseases,but they didn’t have hepatic diseases.Uktrasound examination indicated the obsrtuction or dikation of pancreatic vein ......

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