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机构地区:[1]南京医科大学附属南京医院消化科,南京210006
出 处:《医学综述》2015年第8期1411-1414,共4页Medical Recapitulate
摘 要:门静脉血栓(PVT)是肝硬化失代偿期门静脉高压症并发症之一。随着诊断技术的进步,PVT的检出率不断提高,但其发病机制复杂,目前的研究结果倾向于多种因素共同作用。对于已经确诊的PVT,除了全身抗凝、溶栓及手术治疗外,介入治疗也有较大价值。迄今为止,尚未形成正式的指南来指导肝硬化门静脉高压症患者PVT的治疗。该文就目前PVT的发病机制、临床表现、诊断方法及治疗的研究进展予以综述。Portal vein thrombosis is one of the complications of decompensated cirrhosis .Along with the progress of diagnosis technology,the detection rate of portal vein thrombosis is constantly improving.But its pathogenesis is complex,the current study results tend to reveal that multiple factors are involved in it .For confirmed portal vein thrombosis,besides systemic anti-coagulation,thrombolysis therapy and surgery,inter-ventional therapy also has great value,yet there has not been any widely accepted guideline for the treatment of liver cirrhosis patients with portal vein thrombosis and portal hypertension .Here is to make a review of research progress on the pathogenesis,clinical manifestations,diagnostic methods and treatment of portal vein thrombosis.
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