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酒精性肝炎患者的肝静脉造影与血流动力学

Hepatic Venography and Hemodynamics in Patients with Alcoholic Hepatitis.

作者信息

Miller F J, Maddrey W C, Sheff R N, Harrington D P, White R I

出版信息

Radiology. 1975 May;115(2):313-7. doi: 10.1148/115.2.313.

DOI:10.1148/115.2.313
PMID:1144745
Abstract

Fourteen patients with alcoholic hepatitis were evaluated serially by free (FHV) and wedge (WHV) hepatic venogrpahy and corrected hepatic wedge pressure (CWP). Cardiac output was determined and liver biopsy performed before and after 30 days of medical therapy in 11 and 6 patients, respectively. The CWP and FHV correlated well with the severity of hepatitis. Sinusoidal morphology, as determined by WHV, was difficult to interpret and varied on serial studies, although there were no significant changes in the liver histology or FHV. The authors conclude that FHV and CWP are useful parameters of the severity of alcoholic hepatitis, while WHV is helpful in determining patency and direction of blood flow in the portal vein.

摘要

对14例酒精性肝炎患者进行了连续的游离肝静脉造影(FHV)、楔形肝静脉造影(WHV)及校正肝楔形压(CWP)评估。分别对11例和6例患者在药物治疗前及治疗30天后测定心输出量并进行肝活检。CWP和FHV与肝炎严重程度密切相关。尽管肝脏组织学或FHV无显著变化,但通过WHV确定的肝血窦形态难以解读且在系列研究中有所不同。作者得出结论,FHV和CWP是酒精性肝炎严重程度的有用参数,而WHV有助于确定门静脉血流的通畅情况和方向。

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