CT检查早期发现肝门静脉气并行适当外科治疗可提高患者生存率
摘要
肝门静脉气历来预示着预后较差,但近30年来可以通过CT扫描早期发现门静脉气,因而大大改变了以往仅能通过X线检查发现晚期病例的情况。本文所列的5例病例就是通过CT扫描准确发现了隐匿的肝门静脉气,其中4例CT检查发现有其他异常病变,后者可能与门静脉气有关。对所有病例施行了探查手术并切除了病变组织,无一例死亡。我们认为,通过CT检查早期发现肝门静脉气并进行适当的手术治疗,可以提高患者的生存率。
出处
《世界医学杂志》
2001年第9期8-10,共3页
International Journal of Medicine
参考文献24
-
1Wolfe JN, Evans WA. Gas in the portal veins of infants: a roentgenographic demonstration with postmortern anatomical correlation. Am J Rcenterol 1955;74:486-489.
-
2Tedesco FJ, Stanley, RJ. Hepatic portal vein gas without bowel infarction or necrosis. Gastroenterology 1975;69:240-243.
-
3Cambria RP, Margolies MN. Hepatic portal venous gas in diverticulitis: survival in a steroid treated patient. Arch Surg 1982;117:834-835.
-
4Dennis MA, Pretorius D, Manco-Hohnson ML, et al. CT detection of portal venous gas associated with suppurative cholangitis and cholecystitis. Am J Roenterol 1985;145:1017-1018.
-
5Edwards AM, Michalyshyn B, Costopoulos LB. Survival following gas in the portal venous system: a report of two cases. Can Med Assoc J 1967;97:1029-1031.
-
6Munoz-Navas MA, Jimenez-Perez FJ, Lecumberri FJ. Portal venous gas sccondary to a penetrating foreign body of the stomach. Gastrointest Endosc 1989;35:573-574.
-
7Benson MD. Case report: adult survival with intrahepatic portal venous gas secondary to acute gastric dilatation, with review of portal veinous gas. Clin Radiol 1985;36:441-443.
-
8Radin DR, Rosen RS, Halls JM. Acute gastric dilatation: a rate cause of portal venous gas. Am J Roenterol 1987;148:279-280.
-
9Kirsch M, Bozdech J, Gardner DA. Hepatic portal venous gas: an unusual presentation of Crohn's disease. Am J Gastroenterol 1990;85:1521-1523.
-
10Friedman D, Flancbaum L, Ritter E, Trooskin SZ. Hepatic portal venous gas identified by computed tomograghy in a patient with bhmt abdominal trauma: a case report. J Trauma 1991;31:290-292.
-
1张军杰,刘行峰,张军民.手术治疗女性尿道综合征78例[J].新乡医学院学报,2000,17(1):57-58.
-
2程建华,程越清,宋贵武,黄元美,崔新广.石骨症患者全髋置换1例[J].生物骨科材料与临床研究,2008,5(4):56-56.
-
3张卫宁,王政刚,宫凡,张旭东,程建业.脊膜膨出术后脊髓栓系综合征的诊疗经验[J].北京军区医药,2000,12(4):271-271.
-
4陈焰.胎儿脑内异常的超声诊断[J].中国实用妇科与产科杂志,2005,21(9):518-520. 被引量:6
-
5王述华,严显岑.游离胆囊一例报告[J].赣南医学院学报,1996,16(2):142-142.
-
6龚芳,李强,郭雄.大骨节病临床症状、体征的分布规律[J].中国地方病防治,1999,14(5):266-268. 被引量:5
-
7赵国华,赵淑丽.低场磁共振在膝关节隐性骨折中的诊断价值[J].中国医师杂志,2010,12(2):253-255.
-
8王小军,牟瑞平,王艳.对称性长骨扩展症一例报告[J].中国医药,2008,3(9):520-520.
-
9程凤丹,刘红云,刘丽君,徐杰.两个时间段的急性酒精性肝损伤与肝细胞凋亡[J].广东医学,2010,31(13):1641-1643. 被引量:1
-
10李平,陈劲松.活体供肾零点活检的研究进展[J].肾脏病与透析肾移植杂志,2016,25(4):386-389. 被引量:2