Misra S, Sarin S K, Gulati P K, Singal A K, Broor S L
Department of Gastroenterology, GB Pant Hospital, New Delhi.
Indian J Gastroenterol. 1991 Apr;10(2):49-50.
Forty-five non-cirrhotic patients undergoing splenoportovenography (SPV) were studied. SPV was performed successfully in 43 (95.5%) patients. Local pain was encountered in 12 (26.6%) and lasted for a mean (+/- SD) of 7 +/- 3.8 hours. Local tenderness was noted in 17 (37.7%) and lasted for 6.8 +/- 3.7 hours. The mean rise in the pulse rate after the procedure was 6.5 +/- 4.7 beats per minute and the fall in the systolic and diastolic blood pressures was 3.4 +/- 2.5 and 0.8 +/- 1.7 mmHg respectively. Post-SPV splenic hematoma was noted in 3 (6.6%) patients. All were subcapsular, at the site of puncture, and disappeared by the seventh day. There was no difference in the age, change in the pulse rate, and fall in systolic or diastolic blood pressures between those who developed and those who did not develop hematoma. One patient required one unit of blood transfusion. There were no deaths. SPV was noted to be a simple and safe procedure with a high success rate with minimal morbidity and no mortality.
对45例接受脾门静脉造影（SPV）的非肝硬化患者进行了研究。43例（95.5%）患者成功完成了SPV。12例（26.6%）出现局部疼痛，平均持续时间（±标准差）为7±3.8小时。17例（37.7%）有局部压痛，持续6.8±3.7小时。术后平均心率上升6.5±4.7次/分钟，收缩压和舒张压分别下降3.4±2.5 mmHg和0.8±1.7 mmHg。3例（6.6%）患者出现SPV术后脾血肿。均为包膜下血肿，位于穿刺部位，至第7天消失。发生血肿和未发生血肿的患者在年龄、心率变化以及收缩压或舒张压下降方面无差异。1例患者需要输注1个单位的血液。无死亡病例。SPV是一种简单、安全的检查方法，成功率高，发病率极低，无死亡率。
