Korotkiĭ V N, Teplyĭ V V
Khirurgiia (Mosk). 1991 Nov(11):81-3.
Among 425 patients who were under observation for portal hypertension 72 (16.9%) had its mixed form. Thrombosis of the portal vein in liver cirrhosis occurred in 6 patients. Marked hepatic fibrosis caused by obstruction of the portal vein was encountered in 14 patients. Compression of the hepatic segment of the inferior vena cava was found in 44 patients with cirrhosis of the liver. Nutmeg cirrhosis developed in 8 patients in prolonged disorder of venous flow from the liver. Coexistence of pre- and intrahepatic forms of portal hypertension occurred in the first two situations and coexistence of intra- and suprahepatic forms in the second two. The variety of mixed forms of portal hypertension should be borne in mind in choosing the method of operative treatment and defining its prognosis.
在425例接受门静脉高压观察的患者中,72例(16.9%)为混合型。肝硬化患者门静脉血栓形成6例。门静脉阻塞导致明显肝纤维化14例。44例肝硬化患者发现肝段下腔静脉受压。8例患者因肝脏静脉长期血流紊乱出现槟榔肝肝硬化。前两种情况为肝前型和肝内型门静脉高压并存,后两种情况为肝内型和肝外型门静脉高压并存。在选择手术治疗方法和判断预后时,应考虑门静脉高压混合型的多样性。