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内脏静脉闭塞

Splanchnic vein closures.

作者信息

Krška Z, Kvasnička J, Hořejš J, Hoskovec D

出版信息

Rozhl Chir. 2019 Summer;98(6):239-244.

Abstract

Closures in the splanchnic venous system (SVS) represent a broad medical problem. Anatomically, individual or even multiple sections of SVS may be affected at the same time. Main sections of SVS include the venous liver outflow system, the portal vein, and the upper mesenteric vein and its basin. Thrombosis is clearly the predominant cause of closure. The closures can present as acute, subacute, chronic occult or chronic manifest. The main pathological and anatomical units are the Budd-Chiari syndrome (BCS), extrahepatic portal vein obstruction (EHPVO) and mesenteric vein thrombosis (MVT). Advanced laboratory, imaging and intervention methods substantially modify the approach to prevention, diagnosis and treatment; surgical approach also plays a role. The problem of SVS closures is interdisciplinary.

摘要

内脏静脉系统(SVS)的闭塞是一个广泛的医学问题。从解剖学角度来看,SVS的单个甚至多个节段可能会同时受到影响。SVS的主要节段包括肝静脉流出系统、门静脉、肠系膜上静脉及其流域。血栓形成显然是闭塞的主要原因。闭塞可表现为急性、亚急性、慢性隐匿性或慢性显性。主要的病理和解剖单元是布加综合征(BCS)、肝外门静脉阻塞(EHPVO)和肠系膜静脉血栓形成(MVT)。先进的实验室、影像学和干预方法极大地改变了预防、诊断和治疗的方法;手术方法也发挥着作用。SVS闭塞问题是跨学科的。

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