门静脉高压症-上海交通大学医学院精品课程资料.pptVIP

门静脉高压症;概述;Anatomy of the Liver;Anatomy of portal vein;门静脉解剖概要;门V系与腔V系之间4组交通支;1.胃底、食管下段交通支;2.前腹壁交通支;3.直肠下端、肛管交通支;4.腹膜后交通支;;分型;CAUSE;分型;肝炎后肝硬变：肝窦、窦后;血虫病性肝硬变：窦前;门静脉压力;门脉高压的病理变化;脾肿大、脾功能亢进;交通支扩张;胃底食管下段交通支出血病理;腹水;HEMODYNAMIC CHANGES;CLINICAL PRESENTATION;INVESTIGATION;临床表现;脾肿大、脾功能亢进;呕血或黑便;腹水等临床表现;诊断;辅助检查;INVESTIGATION;INVESTIGATION;INVESTIGATION;normal liver;大出血时的鉴别诊断;治疗;治疗;TREATMENT STRTEGIES;食管胃底静脉出血的治疗;非手术治疗;抗休克治疗;生长抑素;垂体加压素;三腔管压迫止血;三腔管压迫止血;三腔管用法;放置三腔管后;三腔管并发症、注意事项;纤维内镜硬化剂注射、圈套;经颈内静脉肝内门体分流术TIPS;手术治疗;肝功??评级，Child分级;Child-Pugh;手术与Child分级;分流手术;DECOMPRESSION;TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT （TIPS，TIPSS） ;PORTOSYSTEMIC SHUNTS;PARTIAL PORTOSYSTEMIC SHUNTS;SELECTIVE VARICEAL DECOMPRESSION;;断流手术;;DEVASCULARIZATION PROCEDURES;两种术式比较;分流术的特点;断流术的特点;脾切除：脾肿大、脾亢;顽固性腹水;肝移植术;INDICATION FOR LIVER TRANSPLANTATION;End-stage liver disease;Recipient （受体手术）;移除病肝;New liver ; Production of bile by new liver;Schematic of completed liver transplantation;Graft Implantation;Budd－Chiari综合征;临床表现与诊断;治疗;?;MANAGEMENT OF VARICEAL BLEEDING;