目的 探討脾靜脈高壓的臨床特征及診斷依據。
方法 回顧性分析6例脾靜脈高壓病例的臨床癥狀、體征、影像學檢查及術中發現等資料。
結果 臨床癥狀主要表現為嘔血和便血； CT掃描3例脾靜脈狹窄，3例脾靜脈顯示不清； 術中測定門靜脈壓力，切脾前左側為2.94±0.2 kPa(35.0±2.1 cmH2O)，高于右側的1.96±0.2 kPa(20.0±2.3 cmH2O)，切脾后左側為2.06±0.1 kPa(21.0±1.3 cmH2O)，右側為1.76±0.1 kPa(18.0±1.4 cmH2O)，二者無明顯差異。術中探查脾靜脈，5例脾靜脈栓塞，1例狹窄。
結論 術前CT增強掃描，術中測定左右半門靜脈壓力以及術中發現脾靜脈栓塞或狹窄，可以診斷脾靜脈高壓。
Citation：
孫汴生,楊漢新,楊敏. DIAGNOSIS AND TREATMENT OF SPLENIC VENOUS HYPERTENSION (REPORT OF 6 CASES). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2000, 7(6): 399-400. doi:
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Copyright ? the editorial department of CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY of West China Medical Publisher. All rights reserved
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- 1. Rozenblit G, Del Guercio LR, Savino J, et al. Splenic venous hypertension presenting as variceal hemorrhage caused by portal hypertension〔Ｊ〕. J Am Coll Surg, 1996; 182(1)∶63.
- 2. Madsen MS, Peterson TH, Sommer H, et al. Segmental portal hypertension〔Ｊ〕. Ann Surg, 1986; 204(1)∶72.
- 3. 韓永堅， 劉牧之主編. 臨床解剖學叢書腹盆分冊〔M〕. 第1版. 北京： 人民衛生出版社， 1992∶174～176.
- 4. Marn CS, Glazer GM, Williams DM, et al. CTangiographic correlation of collateral venous pachways in isolated splenic vein ocdusion: new observations〔Ｊ〕. Radiology, 1990; 175(2)∶375.
