Jonnalagadda S S, Quiason S, Smith O J
Gastroenterology and Liver Disease, Truman Medical Center, UMKC School of Medicine, Kansas City, Missouri 64104, USA.
Am J Gastroenterol. 1998 Feb;93(2):272-4. doi: 10.1111/j.1572-0241.1998.270_3.x.
Hemorrhage from duodenal varices may be severe and life threatening. We report a patient with portal hypertension and bleeding duodenal varices caused by cirrhosis of the liver. Endoscopic sclerotherapy and intravenous vasopressin failed to control bleeding in this patient. Hemorrhage was subsequently controlled by placement of a transjugular intrahepatic portosystemic shunt. We recommend that in patients with life-threatening hemorrhage from duodenal varices caused by cirrhosis of the liver, transjugular intrahepatic portosystemic shunt be considered in the management.
十二指肠静脉曲张出血可能很严重，甚至危及生命。我们报告一例因肝硬化导致门静脉高压和十二指肠静脉曲张出血的患者。内镜下硬化治疗和静脉注射加压素未能控制该患者的出血。随后通过经颈静脉肝内门体分流术控制了出血。我们建议，对于因肝硬化导致十二指肠静脉曲张出现危及生命出血的患者，在治疗中应考虑行经颈静脉肝内门体分流术。
Zotero 插件