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淋巴瘤所致非肝硬化性门静脉高压。脾切除术后逆转。

Noncirrhotic portal hypertension due to lymphoma. Reversal following splenectomy.

作者信息

Lindor K, Rakela J, Perrault J, Van Heerden J

出版信息

Dig Dis Sci. 1987 Sep;32(9):1056-8. doi: 10.1007/BF01297199.

DOI:10.1007/BF01297199
PMID:3497789
Abstract

We report a case of bleeding esophageal varices associated with lymphoma. Splenectomy alone reversed the patient's portal hypertension as assessed hemodynamically and clinically. Mechanisms leading to portal hypertension in the setting of splenomegaly from hematologic disorders are discussed. An approach to operative management of these patients, based on preoperative hemodynamic measurements, is suggested for future consideration.

摘要

我们报告一例与淋巴瘤相关的食管静脉曲张出血病例。单纯脾切除术在血流动力学和临床评估方面逆转了患者的门静脉高压。本文讨论了血液系统疾病导致脾肿大时引起门静脉高压的机制。基于术前血流动力学测量结果,建议了一种针对这些患者的手术管理方法,以供未来参考。

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1
Noncirrhotic portal hypertension due to lymphoma. Reversal following splenectomy.淋巴瘤所致非肝硬化性门静脉高压。脾切除术后逆转。
Dig Dis Sci. 1987 Sep;32(9):1056-8. doi: 10.1007/BF01297199.
2
Portal hypertension associated with systemic mastocytosis and splenomegaly.
Gastroenterology. 1980 Feb;78(2):370-3.
3
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Acta Chir Belg. 2015 May-Jun;115(3):237-40. doi: 10.1080/00015458.2015.11681105.
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Med Klin (Munich). 1991 Jan 15;86(1):32-4.
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PORTAL PRESSURE DECREASE AFTER ESOPHAGOGASTRIC DEVASCULARIZATION AND SPLENECTOMY IN SCHISTOSOMIASIS: LONG-TERM VARICES BEHAVIOR, REBLEEDING RATE, AND ROLE OF ENDOSCOPIC TREATMENT.血吸虫病患者行食管胃去血管化及脾切除术后门静脉压力降低:静脉曲张长期变化、再出血率及内镜治疗的作用
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Noncirrhotic portal hypertension due to peripheral T-cell lymphoma, not otherwise specified: A case report.外周T细胞淋巴瘤所致非肝硬化性门静脉高压症,未另作说明:一例病例报告。
World J Clin Cases. 2022 Sep 16;10(26):9417-9427. doi: 10.12998/wjcc.v10.i26.9417.
2
Life-threatening hypersplenism due to idiopathic portal hypertension in early childhood: case report and review of the literature.儿童期特发性门静脉高压导致危及生命的脾功能亢进:病例报告及文献复习。
BMC Gastroenterol. 2010 Oct 20;10:122. doi: 10.1186/1471-230X-10-122.

本文引用的文献

1
Portal hypertension in myeloid metaplasia. Report of a case without apparent portal obstruction.骨髓化生中的门静脉高压症。1例无明显门静脉梗阻的病例报告。
Arch Surg. 1960 Jul;81:80-6. doi: 10.1001/archsurg.1960.01300010082015.
2
Portal hypertension in the myeloproliferative syndrome and the reticuloses.骨髓增殖综合征和网状细胞增多症中的门静脉高压。
Am J Med. 1962 May;32:758-64. doi: 10.1016/0002-9343(62)90165-1.
3
Portal hypertension associated with systemic mastocytosis and splenomegaly.
Gastroenterology. 1980 Feb;78(2):370-3.
4
Portal hypertension in a patient with osteopetrosis. A case report with discussion of the mechanism of portal hypertension.
Arch Intern Med. 1971 Aug;128(2):279-283. doi: 10.1001/archinte.1971.00310200115014.
5
Spleen blood flow and splanchnic haemodynamics in blood dyscrasia and other splenomegalies.血液系统疾病及其他脾肿大时的脾血流量和内脏血流动力学
Clin Sci. 1970 Jan;38(1):73-84. doi: 10.1042/cs0380073.
6
Gastrointestinal and abdominal manifestations of agnogenic myeloid metaplasia.
Arch Intern Med. 1973 Apr;131(4):532-7.
7
Portal hypertension in idiopathic tropical splenomegaly.
Lancet. 1966 Feb 12;1(7433):329-33. doi: 10.1016/s0140-6736(66)91319-5.
8
Portal hypertension in chronic leukaemia.慢性白血病中的门静脉高压症
Br J Haematol. 1975 Nov;31(3):279-85. doi: 10.1111/j.1365-2141.1975.tb00859.x.