A case of hepatic sinusoidal obstruction syndrome
-
摘要: <正>肝窦阻塞综合征(hepatic sinusoidal obstruction syndrome,HSOS)是一种病因复杂、临床表现缺乏特异性的罕见病,国内报道多为服用土三七所致。由于该病早期诊断困难,所以易延误病情,并发展为重症合并多器官功能衰竭,且目前尚无特效药物治疗,病死率高。近年来,HSOS越来越受到临床重视。本文通过对1例HSOS致死病例分析并文献复习,以加强临床医生对该病的认识,同时提出HSOS伴门静脉系统血栓形成提示预后不良。
-
Key words:
- hepatic veno-occlusive disease /
- venous thrombosis /
- case reports
-
[1]WANG X, QI X, GUO X.Tusanqi-related sinusoidal obstruction syndrome in China:A systematic review of the literatures[J].Medicine (Baltimore) , 2015, 94 (23) :e942. [2] RICHARDSON P, GUINAN E.Hepatic veno-occlusive disease following hematopoietic stem cell transplantation[J].Acta Haematol, 2001, 106 (1-2) :57-68. [3] SHAO H, CHEN HZ, ZHU JS, et al.Computed tomography findings of hepatic veno-occlusive disease caused by Sedum aizoon with histopathological correlation[J].Braz J Med Biol Res, 2015, 48 (12) :1145-1150. [4]PENG T, ZHANG GY, LIU YL.Identification of Budd-Chiari syndrome, hepatic sinusoidal obstruction syndrome and hepatic cirrhosis[J].J Clin Hepatol, 2011, 27 (10) :1022-1026, 1031. (in Chinese) 彭涛, 张国艳, 刘玉兰.布-加综合征、肝血窦阻塞综合征与肝硬化的鉴别[J].临床肝胆病杂志, 2011, 27 (10) :1022-1026, 1031. [5]ZHU CK, ZHANG F, ZHUGE YZ, et al.Clinical characteristics of115 cases of gynura segetum induced hepatic sinusoidal obstruction syndrome[J].Chin J Dig, 2017, 37 (7) :448-452. (in Chinese) 朱成凯, 张峰, 诸葛宇征, 等.菊三七相关肝窦阻塞综合征115例的临床特征分析[J].中华消化杂志, 2017, 37 (7) :448-452. [6] DIGNAN FL, WYNN RF, HADZIC N, et al.BCSH/BSBMT guideline:Diagnosis and management of veno-occlusive disease (sinusoidal obstruction syndrome) following haematopoietic stem cell transplantation[J].Br J Haematol, 2013, 163 (4) :444-457. [7]YANG JJ, HU CH, HE J.The contrast of ultrasond and CT in diagnosis of hepatic veno-occlusive disease[J].J Med Imaging, 2010, 20 (9) :1381-1385. (in Chinese) 阳建军, 胡春洪, 何剑.超声与CT诊断肝小静脉闭塞病的对比研究[J].医学影像学杂志, 2010, 20 (9) :1381-1385. [8]Cooperative Group for Hepatic and Gall Diseases, Chinese Society of Gastroenterology, Chinese Medical Association.Expert consensus on diagnosis and treatment of pyrrolidine alkaloids-related sinusoidal obstruction syndrome (2017, Nanjing) [J].J Clin Hepatol, 2017, 33 (9) :1627-1637. (in Chinese) 中华医学会消化病学分会肝胆疾病协作组.吡咯生物碱相关肝窦阻塞综合征诊断和治疗专家共识意见 (2017年, 南京) [J].临床肝胆病杂志, 2017, 33 (9) :1627-1637. [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] HELMY A.Review article:Updates in the pathogenesis and therapy of hepatic sinusoidal obstruction syndrome[J].Aliment Pharmacol Ther, 2006, 23 (1) :11-25. [11]LITZOW MR, REPOUSSIS PD, SCHROEDER G, et al.Venoocclusive disease of the liver after blood and marrow transplantation:Analysis of pre-and post-transplant risk factors associated with severity and results of therapy with tissue plasminogen activator[J].Leuk Lymphoma, 2002, 43 (11) :2099-2107. [12] SAKAI M, STRASSER SI, SHULMAN HM, et al.Severe hepatocellular injury after hematopoietic cell transplant:Incidence, etiology and outcome[J].Bone Marrow Transplant, 2009, 44 (7) :441-447. [13] FRIED MW, DUNCAN A, SOROKA S, et al.Serum hyaluronic acid in patients with veno-occlusive disease following bone marrow transplantation[J].Bone Marrow Transplant, 2001, 27 (6) :635-639. [14]HAO JG, YAN XB, JI F.Clinical characteristics of 25 cases with Gynura segetum-induced hepatic veno-occlusive disease[J].Chin Hepatol, 2017, 22 (2) :108-110, 124. (in Chinese) 郝俊贵, 颜学兵, 季芳.土三七致肝小静脉闭塞病25例临床特点分析[J].肝脏, 2017, 22 (2) :108-110, 124. [15] ZENZ T, ROSSLE M, BERTZ H, et al.Severe veno-occlusive disease after allogeneic bone marrow or peripheral stem cell transplantation—role of transjugular intrahepatic portosystemic shunt (TIPS) [J].Liver, 2001, 21 (1) :31-36. [16]MA JQ.Investigation of several specific issues regarding portal vein thrombosis[D].Shanghai:Fudan Univ, 2013. (in Chinese) 马婧嶔.关于门静脉系统血栓的若干特殊问题研究[D].上海:复旦大学, 2013. [17]RICHARDSON PG, SOIFFER RJ, ANTIN JH, et al.Defibrotide for the treatment of severe hepatic veno-occlusive disease and multiorgan failure after stem cell transplantation:A multicenter, randomized, dose-finding trial[J].Biol Blood Marrow Transplant, 2010, 16 (7) :1005-1017. [18]ZHANG W, ZHU XW, CHEN H, et al.Diagnosis and treatment of hepatic veno-occlusive disease:An analysis of 10 cases[J].Clin J Curr Adv Gen Surg, 2014, 17 (3) :239-241. (in Chinese) 张伟, 朱雄伟, 陈虹, 等.10例肝小静脉闭塞症诊治分析[J].中国现代普通外科进展, 2014, 17 (3) :239-241.
本文二维码
计量
- 文章访问数: 1812
- HTML全文浏览量: 36
- PDF下载量: 418
- 被引次数: 0