Sherlock S
Gut. 1978 Jan;19(1):70-83. doi: 10.1136/gut.19.1.70.
During the last 25 years, there have been important developments in visualising the portal vein, in examining its contents, and in measuring the pressure of blood flowing within it. Radiologists have set the scene and now is the time of the scanner. These technical advances have been applied to the diagnosis and treatment of patients with portal hypertension, and many ingenious surgical techniques have been proposed. The problem of successful treatment of the patient with bleeding oesophageal varices and cirrhosis of the liver, however, has not yet been solved. This report discusses the portal vein in terms of pressure, flow, and regeneration factors. Portal hypertension is classified and methods of relief are discussed.
在过去的25年里,门静脉的可视化、其内容物的检查以及其中血流压力的测量都取得了重要进展。放射科医生开创了局面,现在是扫描仪的时代。这些技术进步已应用于门静脉高压患者的诊断和治疗,并且已经提出了许多巧妙的外科技术。然而,食管静脉曲张出血和肝硬化患者的成功治疗问题尚未得到解决。本报告从压力、血流和再生因素方面讨论门静脉。对门静脉高压进行了分类并讨论了缓解方法。