中国普外基础与临床杂志

中国普外基础与临床杂志

胰源性门静脉高压症并上消化道出血的诊治体会

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目的探讨胰源性门静脉高压症并上消化道出血的诊断及治疗方式。方法回顾性分析 2014 年6 月至 2018 年 6 月期间笔者所在医院诊治的 13 例胰源性门静脉高压症并上消化道出血患者的临床资料。结果2 例早期行内镜下治疗,因再发上消化道出血行手术治疗;11 例早期明确诊断后行手术治疗。所有行手术治疗的患者术后恢复顺利,无并发症发生。术后均获访,随访时间 6~24 个月,中位数为 18 个月,随访期间无患者死亡及失访病例,未再发消化道出血等并发症。定期复查胃镜及腹部 CT 检查,曲张胃底静脉情况明显改善。结论对胰源性门静脉高压症并上消化道出血患者,早期明确诊断是关键,应选择针对胰腺疾病的相应手术治疗方案。脾切除术联合胃底血管离断术是治疗胰源性门静脉高压症并上消化道出血的有效手术方式。

关键词: 门静脉高压症; 胰源性; 上消化道出血; 脾切除

引用本文: 赵欣, 雷泽华, 高峰畏, 乌建平, 付金强, 杜波, 王志旭, 蒋康怡, 谢青云. 胰源性门静脉高压症并上消化道出血的诊治体会. 中国普外基础与临床杂志, 2019, 26(3): 348-350. doi: 10.7507/1007-9424.201809055 复制

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