Diagnosis and treatment of idiopathic portal hypertension: A case report
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摘要: <正>1病例资料患者女性,26岁,因"腹胀3个月伴加重10 d"于2016年10月10日入本院。患者3个月前无明显诱因出现腹胀,就诊于本院消化内科,行相关检查提示:肝硬化、巨脾、门静脉高压、重度贫血,血常规提示三系明显降低,行骨髓穿刺提示:缺铁性贫血。诊断为:门静脉高压,脾功能亢进,经系统保肝,降门静脉压治疗后有所好转出院,患者自诉腹胀加重10 d,为求进一步诊治入本院,门诊以"脾功能亢进"收入本科。病程中患者
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Key words:
- hypertension, portal /
- diagnosis /
- therapy /
- case reports
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[1]OKUDAIRA M, OHBU M, OKUDA K.Idiopathic portal hypertension and its pathology[J].Semin Liver Dis, 2002, 22 (1) :59-72. [2]HAN M, XU WM, MA AL.Idiopathic portal hypertension:Diagnosis and clinical management[J/CD].Chin J Liver Dis:Electronic Version, 2016, 8 (2) :1-4. (in Chinese) 韩麦, 徐伟民, 马安林.特发性门脉高压的诊断和临床处理[J/CD].中国肝脏病杂志:电子版, 2016, 8 (2) :1-4. [3]YANG M, NIU HY, DING YP, et al.Idiopathic portal hypertension:A case report and literature review[J].J Clin Hepatol, 2017, 33 (12) :2392-2394. (in Chinese) 杨梅, 牛海艳, 丁玉平, 等.特发性门静脉高压1例报告并文献复习[J].临床肝胆病杂志, 2017, 33 (12) :2392-2394. [4]SCHOUTEN JN, VERHEIJ J, SEIJO S.Idiopathic non-cirrhotic portal hypertension:A review[J].Orphanet J Rare Dis, 2015, 10:67. [5]LIU HB, ZHANG BJ, LYU Y, et al.Research advances in idiopathic non-cirrhotic portal hypertension[J].J Clin Hepatol, 2017, 33 (2) :348-353. (in Chinese) 刘海博, 张博静, 吕勇, 等.特发性非肝硬化门静脉高压症的研究进展[J].临床肝胆病杂志, 2017, 33 (2) :348-353. [6]NAKANUMA Y, TSUN EYAMA K, OHBU M, et al.Pathology and pathogenesis of idiopathic portalhypertension with an emphasis on the liver[J].Pathol Res Pract, 2001, 197 (2) :65-76. [7]RIGGIO O, GIOIA S, PENTASSUGLIO I, et al.Idiopathic noncirrhotic portal hypertension:Current perspectives[J].Hepat Med, 2016, 8:81-88. [8]MA XM, REN H, JIN B, et al.Clinical and pathological features analysis of 21 patients with idiopathic portal hypertension[J].Infect Dis Info, 2017, 30 (3) :168-171. (in Chinese) 马雪梅, 任辉, 金波, 等.21例特发性门脉高压临床及病理特点分析[J].传染病信息, 2017, 30 (3) :168-171. [9]European Association for the Study of the Liver.EASL clinical practice guidelines:Vascular diseases of the liver[J].J Hepatol, 2016, 64 (1) :179-202. [10]MORIYASU F, FURUICHI Y, TANAKA A, et al.Diagnosis and treatment guidelines for aberrant portal hemodynamics[J].Hepatol Res, 2017, 47 (5) :373-386. [11]LIU B, LIU YD, SUN GH, et al.Analysis of gastroesophageal varices caused by hematological disease[J].Chin J Gastroenterol Hepatol, 2017, 26 (8) :902-904. (in Chinese) 刘博, 刘迎娣, 孙国辉, 等.血液系统疾病导致食管胃静脉曲张的临床分析[J].胃肠病学和肝病学杂志, 2017, 26 (8) :902-904. [12]KHANNA R, SARIN SK.Non-cirrhotic portal hypertension-diagnosis and management[J].J Hepatol, 2014, 60 (2) :421-441. [13]YOSHIDA H, MAMADA Y, TANIAI N, et al.Shunting and nonshunting procedures for the treatment of esophageal varices in patients with idiopathic portal hypertension[J].Hepatogastroenterology, 2010, 57:1139-1144. [14]SCHIANO TD, KOTLER DP, FERRAN E, et al.Hepatoportal sclerosis as a cause of noncirrhotic portal hypertension in patients with HIV[J].Am J Gastroenterol, 2007, 102 (11) :2536-2540.
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