目的 探讨脾静脉高压的临床特征及诊断依据。
方法 回顾性分析6例脾静脉高压病例的临床症状、体征、影像学检查及术中发现等资料。
结果 临床症状主要表现为呕血和便血； CT扫描3例脾静脉狭窄，3例脾静脉显示不清； 术中测定门静脉压力，切脾前左侧为2.94±0.2 kPa(35.0±2.1 cmH2O)，高于右侧的1.96±0.2 kPa(20.0±2.3 cmH2O)，切脾后左侧为2.06±0.1 kPa(21.0±1.3 cmH2O)，右侧为1.76±0.1 kPa(18.0±1.4 cmH2O)，二者无明显差异。术中探查脾静脉，5例脾静脉栓塞，1例狭窄。
结论 术前CT增强扫描，术中测定左右半门静脉压力以及术中发现脾静脉栓塞或狭窄，可以诊断脾静脉高压。
Citation：
孙汴生,杨汉新,杨敏. DIAGNOSIS AND TREATMENT OF SPLENIC VENOUS HYPERTENSION (REPORT OF 6 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(6): 399-400. doi:
Copy
Copyright © the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
| 1. |
Rozenblit G, Del Guercio LR, Savino J, et al. Splenic venous hypertension presenting as variceal hemorrhage caused by portal hypertension〔Ｊ〕. J Am Coll Surg, 1996; 182(1)∶63.
|
| 2. |
Madsen MS, Peterson TH, Sommer H, et al. Segmental portal hypertension〔Ｊ〕. Ann Surg, 1986; 204(1)∶72.
|
| 3. |
韩永坚， 刘牧之主编. 临床解剖学丛书腹盆分册〔M〕. 第1版. 北京： 人民卫生出版社， 1992∶174～176.
|
| 4. |
Marn CS, Glazer GM, Williams DM, et al. CTangiographic correlation of collateral venous pachways in isolated splenic vein ocdusion: new observations〔Ｊ〕. Radiology, 1990; 175(2)∶375.
|
- 1. Rozenblit G, Del Guercio LR, Savino J, et al. Splenic venous hypertension presenting as variceal hemorrhage caused by portal hypertension〔Ｊ〕. J Am Coll Surg, 1996; 182(1)∶63.
- 2. Madsen MS, Peterson TH, Sommer H, et al. Segmental portal hypertension〔Ｊ〕. Ann Surg, 1986; 204(1)∶72.
- 3. 韩永坚， 刘牧之主编. 临床解剖学丛书腹盆分册〔M〕. 第1版. 北京： 人民卫生出版社， 1992∶174～176.
- 4. Marn CS, Glazer GM, Williams DM, et al. CTangiographic correlation of collateral venous pachways in isolated splenic vein ocdusion: new observations〔Ｊ〕. Radiology, 1990; 175(2)∶375.
