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酒精性与非酒精性肝硬化肝循环的差异

Difference of hepatic circulation between alcoholic and non-alcoholic hepatic cirrhosis.

作者信息

Nakamura S, Takezawa Y, Sato T, Aikawa T, Kera K

出版信息

Tohoku J Exp Med. 1977 Dec;123(4):297-306. doi: 10.1620/tjem.123.297.

Abstract

Comparisons were made of hepatic circulation between alcoholic and non-alcoholic cirrhosis. The wedged hepatic venous pressure and per cent intrahepatic shunt measured by the method of continuous infusion of D-galactose-1-14C were similarly markedly increased. On the other hand, the wedged hepatic venography showed the main portal trunk and extrahepatic collaterals, namely, the tendency of reverse or stagnant portal flow, more frequently in alcoholic cirrhosis than in non-alcoholic cirrhosis. The nodules shown by slow low-pressure hepatic sinusoidography were larger in non-alcoholic cirrhosis than in alcoholic cirrhosis.

摘要

对酒精性肝硬化和非酒精性肝硬化的肝循环进行了比较。通过连续输注D-半乳糖-1-14C的方法测得的肝静脉楔压和肝内分流百分比同样显著升高。另一方面,肝静脉楔入造影显示,酒精性肝硬化比非酒精性肝硬化更频繁地出现主要门静脉主干和肝外 collateral,即门静脉血流反向或停滞的趋势。缓慢低压肝窦造影显示的结节在非酒精性肝硬化中比酒精性肝硬化中更大。

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