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[肝硬化患者充血性胃病所致消化出血:经颈静脉肝内门体分流术的急诊治疗]

[Digestive hemorrhage caused by congestive gastropathy in a patient with liver cirrhosis: emergency treatment by transjugular intrahepatic portosystemic anastomosis].

作者信息

Soyer P, Lacheheb D, Zeitoun G, Parmentier G, Hay J M, Levesque M

机构信息

Service de Radiologie, Hôpital Louis-Mourier, Colombes.

出版信息

Gastroenterol Clin Biol. 1993;17(2):130-3.

PMID:8500700
Abstract

A 34-year-old woman with liver cirrhosis and portal hypertension was admitted for gastric bleeding due to congestive gastropathy. Her past medical history included 4 episodes of variceal rupture within the last 5 months. As medical treatment was a failure, an emergency transjugular intrahepatic portosystemic shunt was successfully performed, resulting in a marked drop in portal pressure (from 32 to 15 mm Hg) and a subsequent arrest of acute hemorrhage. Four months later, no recurrent bleeding has been observed and the shunt has remained patent as documented by duplex Doppler sonography.

摘要

一名34岁患有肝硬化和门静脉高压的女性因充血性胃病导致胃出血入院。她过去的病史包括在过去5个月内发生过4次静脉曲张破裂。由于药物治疗失败,成功进行了紧急经颈静脉肝内门体分流术,导致门静脉压力显著下降(从32毫米汞柱降至15毫米汞柱),随后急性出血停止。四个月后,未观察到复发性出血,经双功多普勒超声检查证明分流仍保持通畅。

相似文献

1
[Digestive hemorrhage caused by congestive gastropathy in a patient with liver cirrhosis: emergency treatment by transjugular intrahepatic portosystemic anastomosis].[肝硬化患者充血性胃病所致消化出血:经颈静脉肝内门体分流术的急诊治疗]
Gastroenterol Clin Biol. 1993;17(2):130-3.
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[Transjugular intrahepatic portosystemic shunt. Treatment of patients with recurrent bleeding from esophageal varices].经颈静脉肝内门体分流术。治疗食管静脉曲张反复出血的患者
Ugeskr Laeger. 1998 Mar 9;160(11):1621-6.
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[Portasystemic anastomosis by transjugular approach: treatment of active and refractory hemorrhage caused by rupture of esophageal varices. Results in 11 patients].经颈静脉途径的门体分流术:治疗食管静脉曲张破裂引起的活动性难治性出血。11例患者的结果
Gastroenterol Clin Biol. 1995 Nov;19(11):903-8.
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[Treatment of hemorrhages by rupture of cardio-tuberous varices with transjugular intrahepatic portasystemic shunt].经颈静脉肝内门体分流术治疗心肝静脉曲张破裂出血
Gastroenterol Clin Biol. 1993;17(6-7):431-4.
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The use of transjugular intrahepatic portosystemic shunt and surgical portocaval H-shunt for the treatment of colorectal variceal bleeding.经颈静脉肝内门体分流术及外科门腔H形分流术治疗结直肠静脉曲张出血
Hepatogastroenterology. 1995 Sep-Oct;42(5):557-60.
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[Recurrent bleeding from colonic varices in portal hypertension. The successful prevention of recurrence by the implantation of a transjugular intrahepatic stent-shunt (TIPS)].[门静脉高压症患者结肠静脉曲张反复出血。经颈静脉肝内门体分流术(TIPS)植入成功预防复发]
Dtsch Med Wochenschr. 1995 Dec 22;120(51-52):1773-6. doi: 10.1055/s-2008-1055541.
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Percutaneous transjugular portosystemic shunt.经颈静脉肝内门体分流术
JAMA. 1991 Jul 17;266(3):390-3.
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[Intrahepatic portasystemic shunt and hemorrhagic emergencies in the cirrhotic patient].
Ann Chir. 1995;49(7):580-6; discussion 587-8.
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The transjugular intrahepatic portosystemic stent-shunt procedure for variceal bleeding.经颈静脉肝内门体分流术治疗静脉曲张出血。
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Transjugular intrahepatic portosystemic shunt: a medical perspective.经颈静脉肝内门体分流术:医学视角
Dig Dis. 1995 May-Jun;13(3):153-62. doi: 10.1159/000171498.

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