门静脉血栓形成——普通内科医生入门指南
Portal vein thrombosis - a primer for the general physician.
作者信息
Haris Mohammad, Thachil Jecko
机构信息
University of Manchester, Manchester, UK.
Manchester Royal Infirmary, Manchester, UK
出版信息
Clin Med (Lond). 2017 Jun;17(3):212-219. doi: 10.7861/clinmedicine.17-3-212.
Abstract
Portal vein thrombosis (PVT) is thrombosis of the portal -circulation, which may present with varied symptoms. However, increased use of abdominal imaging has noted a large number of incidental PVT. At the same time, PVT may be overlooked in the absence of the characteristic symptoms. More recently, a mutation has been recognised as a cause of PVT. Anticoagulation is the mainstay of treatment, but can pose a dilemma because of the associated coagulopathy, the presence of varices and thrombocytopenia.
摘要
门静脉血栓形成（PVT）是门静脉循环的血栓形成，可能表现出多种症状。然而，腹部影像学检查的使用增加发现了大量偶然发现的PVT。同时，在没有特征性症状的情况下，PVT可能会被忽视。最近，一种突变已被确认为PVT的一个病因。抗凝是主要的治疗方法，但由于相关的凝血病、静脉曲张的存在和血小板减少症，可能会带来两难困境。
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