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血吸虫性门静脉纤维化:门静脉高压的一个重要病因。

Bilharzial portal fibrosis: an important cause of portal hypertension.

作者信息

Carruthers R H, Sinha P

出版信息

Ann R Coll Surg Engl. 1978 Jan;60(1):49-52.

PMID:626472
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2491582/
Abstract

Thirty consecutive cases of portal hypertension seen in a surgical unit in Lusaka, Zambia, are reported. Of these cases 70% were due to portal fibrosis caused by Schistosoma mansoni infestation. Portacaval shunting was undertaken in most cases. Patients with portal fibrosis responded more favourably to portal decompression than did patients with cirrhosis. It is probable that the condition is more common than is generally reconigzed in areas where S. mansoni infestation is endemic.

摘要

本文报告了赞比亚卢萨卡一家外科病房连续收治的30例门静脉高压病例。其中70%的病例是由曼氏血吸虫感染引起的门静脉纤维化所致。大多数病例都进行了门腔分流术。门静脉纤维化患者对门静脉减压的反应比肝硬化患者更有利。在曼氏血吸虫感染流行的地区,这种疾病可能比普遍认为的更为常见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e38/2491582/5d30e9c8b9dc/annrcse01486-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e38/2491582/a3ff9b6ab73f/annrcse01486-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e38/2491582/5d30e9c8b9dc/annrcse01486-0056-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e38/2491582/a3ff9b6ab73f/annrcse01486-0055-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2e38/2491582/5d30e9c8b9dc/annrcse01486-0056-a.jpg

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1
Bilharzial portal fibrosis: an important cause of portal hypertension.血吸虫性门静脉纤维化:门静脉高压的一个重要病因。
Ann R Coll Surg Engl. 1978 Jan;60(1):49-52.
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[Intrahepatic block without common cirrhosis].
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引用本文的文献

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Profiling lifetime episodes of upper gastrointestinal bleeding among patients from rural Sub-Saharan Africa where schistosoma mansoni is endemic.对来自撒哈拉以南非洲农村地区、曼氏血吸虫病流行地区的患者的上消化道出血终生发作情况进行分析。
Pan Afr Med J. 2016 Aug 3;24:296. doi: 10.11604/pamj.2016.24.296.9755. eCollection 2016.
2
Noncirrhotic portal hypertension.非肝硬化性门静脉高压症
J Clin Exp Hepatol. 2011 Sep;1(2):94-108. doi: 10.1016/S0973-6883(11)60128-X. Epub 2011 Nov 9.

本文引用的文献

1
AMMONIA METABOLISM AND HEPATIC COMA IN HEPATOSPLENIC SCHISTOSOMIASIS: PATIENTS STUDIED BEFORE AND AFTER PORTACAVAL SHUNT.肝脾型血吸虫病中的氨代谢与肝昏迷:门腔分流术前及术后研究的患者
Ann Intern Med. 1965 Jun;62:1113-33. doi: 10.7326/0003-4819-62-6-1113.
2
Portasystemic shunting procedures for portal hypertension. Twenty-six year experience in adults with cirrhosis of the liver.
Am J Surg. 1970 May;119(5):501-5. doi: 10.1016/0002-9610(70)90162-5.
3
Conclusions from a controlled trial of the prophylactic portacaval shunt.
Surgery. 1970 Jan;67(1):97-103.
4
Bilharzial pipe-stem portal fibrosis in Zambia.赞比亚的血吸虫病性管状门静脉纤维化
J Pathol. 1973 Sep;111(1):23-30. doi: 10.1002/path.1711110104.
5
Haematemesis in the African: a comparison of the two main causes after a ten year interval.非洲人的呕血:十年间隔后两种主要病因的比较。
Cent Afr J Med. 1974 May;20(5):100-1.
6
Emergency and elective surgical treatment of portal hypertension. A review of 23 years' experience.门静脉高压症的急诊与择期手术治疗:23年经验回顾
Ann R Coll Surg Engl. 1975 Sep;57(3):148-58.