期刊文献+

肝硬化门静脉血流动力学改变与食管胃底静脉曲张破裂出血的关系 被引量:3

下载PDF
导出
摘要 肝硬化门静脉高压症(portal hypertension,PHT)是指由肝硬化引起门静脉及其属支血管压力升高。PHT合并食管胃底静脉曲张破裂出血是肝硬化的严重并发症,死亡率高达50%以上[1]。准确预测出血并制定合理的防治方案,对于提高患者生存率极其关键,因此,对肝脏血流动力学的研究尤为必要。本文旨在通过彩色多普勒超声观察门静脉血流动力学变化,预测肝硬化食管胃底静脉曲张破裂出血发生的可能性。
作者 姚菊芳
出处 《浙江临床医学》 2012年第2期180-181,共2页 Zhejiang Clinical Medical Journal
  • 相关文献

参考文献1

二级参考文献11

  • 1Schepis F, Camma C, Niceforo D, Magnano A, Pallio S,Cinquegrani M, D'amico G, Pasta L, Craxi A, Saitta A,Raimondo G. Which patients with cirrhosis should undergo endoscopic screening for esophageal varices detection?Hepatology 2001;33:333-338.
  • 2Martins RD, Szejnfeld J, Lima FG, Ferrari AP. Endoscopic,ultrasonographic, and US-Doppler parameters as indicators of variceal bleeding in patients with schistosomiasis. Dig Dis Sci 2000;45:1013-1018.
  • 3Piscaglia F, Donati G, Cecilioni L, Cellii N, Stagni B, Pini P,Gaiani S, Gherlinzoni F, Bolondi L. Influence of the spleen on portal haemodynamics: a non-invasive study with Doppler ultrasound in chronic liver disease and haematological disorders. Scand J Gastroenterol 2002;37:1220-1227.
  • 4Bolognesi M, Sacerdoli D, Bombonato G, Chiesura-Corona M,Merkel C, Gatta A. Arterioportal fistulas in patients with liver cirrhosis:usefulness of color Doppler US for screening. Radiology 2000;216:738-743.
  • 5Matsutani S, Maruyama H, Sato G, Fukuzawa T, Mizumoto H, Saisho H. Hemodynamic response of the left gastric vein to glucagon in patients with portal hypertension and esophageal varices. Ultrasound Med Biol 2003;29:13-17.
  • 6rWachsberg RH, Simmons MZ. Coronary vein diameter and flow direction in patients with portal hypertension: Evaluation with duplex sonography and correlation with variceal bleeding. Am J Roentgenol 1994;162:637-641.
  • 7Moriyasu F, Nishida O, Ban N, Nakamura T, Sakai M, Miyaker T, Uchino H. "Congestion Index"of the portal vein. Am J Roentgenol 1986;146:735-739.
  • 8Siringo S, Bolondi L, Gaiani S, Sofia S, Zironi G, Rigamonti A,Di Febo G, Miglioli M, Cavalli G, Barbara L. Timing of the first variceal hemorrhage in cirrhotic patients: prospective evaluation of Doppler flowmetry, endoscopy and clinical parameters.Hepatology 1994;20:66-73.
  • 9Korner T. Portal duplex sonography in liver cirrhosis: A useful supplement to endoscopic evaluation of bleeding risk of esophageal varices. Scand J Gastroenterol 1996;31:495-499.
  • 10Cioni G, Tincani E, Cristani A, Ventura P, D'Alimonte P,Sardini C, Turrini F, Abbati GL, Romagnoli R, Ventura E.Does the measurement of portal flow velocity have any value in the identification of patients with cirrhosis at risk of digestive bleeding. Liver 1996;16:84-87.

共引文献18

同被引文献52

  • 1闵万苍,杨世昆.泮托拉唑治疗消化性溃疡出血的临床观察[J].昆明医科大学学报,2012,33(5):148-148. 被引量:4
  • 2柴宝,原丽莉,郭亚荣.生长抑素联合急诊内镜下硬化剂治疗肝硬化食管静脉曲张破裂出血临床分析[J].中国药物与临床,2013,13(S1):73-74. 被引量:12
  • 3陆星华,张泰昌.食管胃静脉曲张内镜下诊断和治疗规范试行方案(2003年)[J].中华消化内镜杂志,2004,21(3):149-151. 被引量:429
  • 4狄连君,赵逵,石国庆,杨宪武.肝硬化患者食管静脉曲张的无创性预测因素[J].山东医药,2006,46(31):27-28. 被引量:4
  • 5Burroughs AK,Triantos CK, O' Beirne J, et al. Predictors of early re- bleeding and mortality after acute variceal hemorrhage in patients with cirrhosis [ J ]. Nat Clin Pract Gastroenterol Hepatol,2009,6 ( 2 ) :72-73.
  • 6Kim JN,Sohn KM,Kim MY,et al. Relationship between the hepatic ve- nous pressure gradient and first varieeal hemorrhage in patients with eir- rhosis:a multicenter retrospective study in Korea[J]. Clin Mol Hepatol, 2012,8 (40) :391-396.
  • 7Giannini E, Botta F, Borro P, et al. Platelet count/spleen diameter ratio : proposal and validation of a non-invasive parameter to predict the pres- ence of oesophageal varices in patients with liver cirrhosis [ J ]. Gut, 2003,52 (8) :1200-1205.
  • 8Abu EMM,Shatat ME,Shaker Y,et al. Platelet count/bipolar spleen di-ameter ratio for the prediction of esophageal varices : The special Egyptian situation : Noninvasive prediction of esophageal varices [ J ]. Hepat Mon, 2011 ,11 (4) :278-284.
  • 9Sarangapani A, Shanmugam C, KaIyanasundaram M, et al. Noninvasive prediction of large esophageal varices in chronic liver disease patients [ J ]. Saudi J Gastroenterol, 2010,16 ( 1 ) : 38-42.
  • 10Agha A, Abdulhadi MM, Marenco S, et al. Use of the platelet count/ spleen diameter ratio for the noninvasive diagnosis of esophageal varices in patients with schistosomiasis [ J ]. Saudi J Gastroenterol,2011,17 ( 5 ) : 307-311.

引证文献3

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部