脾动脉栓塞术在胰源性门静脉高压中的应用1例
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  • 英文篇名:Application of splenic artery embolization in pancreatic sinistral portal hypertension:preliminary experience in one case
  • 作者:艾敏 ; 卢光明 ; 许健
  • 英文作者:AI Min;LU Guangming;XU Jian;Department of Medical Imaging, Nanjing General Hospital, Clinical School of Medical College, Nanjing University;
  • 关键词:胰源性门静脉高压 ; 脾动脉栓塞
  • 英文关键词:pancreatic sinistral portal hypertension;;splenic artery embolization
  • 中文刊名:JRFS
  • 英文刊名:Journal of Interventional Radiology
  • 机构:南京大学医学院临床学院东部战区总医院医学影像科;
  • 出版日期:2019-04-25
  • 出版单位:介入放射学杂志
  • 年:2019
  • 期:v.28
  • 语种:中文;
  • 页:JRFS201904014
  • 页数:3
  • CN:04
  • ISSN:31-1796/R
  • 分类号:66-68
摘要
<正>临床资料患者男,41岁。因"诊治胰腺炎11年,随诊发现血小板减少"入院。患者分别于2005年和2010年因重症急性胰腺炎(severe acute pancreatitis,SAP)来我院治疗。2次住院期间均接受了抗炎、输液、抑酸、抑酶、营养支持及CT引导下经皮穿刺腹腔积液置管引流治疗。出院随访期间多次复查腹部增
        
引文
[1]赵玉沛,李晓斌,李宏为,等.胰源性门静脉高压症诊治规范(草案)[J].中华普通外科杂志, 2013, 28:405-406.
    [2] Tang SH, Zeng WZ, He QW, et al. Repeated pancreatitisinduced splenic vein thrombosis leads to intractable gastric variceal bleeding:a case report and review[J]. World J Clin Cases, 2015, 3:920-925.
    [3]王要轩,姜青峰,李珂,等.胰源性门静脉高压37例临床分析[J].中华肝胆外科杂志, 2017, 23:114-116.
    [4] Butler JR, Eckert GJ, Zyromski NJ, et al. Natural history of pancreatitis-induced splenic vein thrombosis:a systematic review and meta-analysis of its incidence and rate of gastroin-testinal bleeding[J]. HPB(Oxford), 2011, 13:839-845.
    [5]周光文,关蛟,靳勇.胰源性门静脉高压症的诊治进展[J].中华肝胆外科杂志, 2017, 23:1-4.
    [6] Liu Q, Song Y, Xu X, et al. Management of bleeding gastric varices in patients with sinistral portal hypertension[J]. Dig Dis Sci, 2014, 59:1625-1629.
    [7] Stone PA, Phang D, Richmond B, et al. Splenic artery embolization for the treatment of bleeding gastric varices secondary to splenic vein thrombosis[J]. Ann Vasc Surg, 2014,28:7-11.
    [8] Li ZY, Li B, Wu YL, et al. Acute pancreatitis associated leftsided portal hypertension with severe gastrointestinal bleeding treated by transcatheter splenic artery embolization:a case report and literature review[J]. J Zhejiang Univ Sci B, 2013,14:549-554.
    [9]朱军,徐晓茜,罗剑钧,等.经皮脾静脉成形术治疗胰源性门静脉高压症[J].介入放射学杂志, 2018, 27:415-418.
    [10]朱西琪,程永德,陈刚.部分脾栓塞在继发性脾功能亢进中的应用现状[J].介入放射学杂志, 2009, 18:627-630.
    [11] Wang Q, Xiong B, Zheng C, et al. Splenic arterial embolization in the treatment of severe portal hypertension due to pancreatic diseases:the primary experience in 14 patients[J]. Cardiovasc Intervent Radiol, 2016, 39:353-358.

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