左侧区域性门静脉高压症临床分析.pdf

( ) 西南军医 　2006 年 8 月 　第 8 卷第 4 期 Journal of Military Surgeon in Southwest China August. ,2006 ;8 4 左侧区域性门静脉高压症临床分析 杨 　军 摘要 　目的 　分析左侧门静脉高压症的病因、内镜下特征、误诊原因及治疗方法。方法 　回顾分析 26 例手术证实 ( ) 的左侧区域性门静脉高压症患者的临床资料。结果 　左侧区域性门静脉高压症主要临床表现为呕血和 或 黑便 , 脾脏肿大、脾功能亢进 ,多有胰腺疾患而无肝脏疾病。超声提示脾静脉阻塞或扩张 , 胃镜可见胃底孤立静脉曲张。 该病少见 ,易误诊。结论 　孤立性胃底静脉曲张是左侧区域性门静脉高压较特征的表现之一 ,首选手术治疗。 关键词 　门静脉高压; 胃孤立静脉曲张 ( ) 中图分类号 　R 574. 5 　　　文献标识码 　A 　　　文章编号 2006 Clinical Analysis of Portal Hypertension of the Left Part YANGJun ,General Hospital of Zhongyuan Oilfield ,Pu Yang City ,Henan Province 457001 ABSTRACT 　Objective 　To study the cause of portal hypertension on the left part ,its features under endoscope ,the misdiagno sis and its treatment. Methods 　A retrospective analysis was made to the clinical data of 26 cases with portal hypertension on the left part proved by operation. Results 　The main symptoms were hematemesis ,melena ,splenomegaly and hypersplenism ,most of the patients suffered from pancreatic diseases ,but they didn’t have hepatic diseases. Ultrasound examination indicated the obsrtuc tion or dilation of pancreatic vein ,the gastric endoscope examination showed isolated gastric varices. Conclusions 　lsolated gastric varices are one of the typical symptoms of portal hypertension on the left part ,and surgical treatment would be the first choice. KEYWORDS 　portal hypertension 　gastric isolated varices 　　门静脉高压症并食道胃底静脉曲张破裂出血是 HbsAg 阳性。超声检查全部患者脾脏均有不同程