腹腔结核合并区域性门静脉高压症1例  

A case of abdominal tuberculosis with regional portal hypertension

作　　者：刘梅[1] 吴会超[1] 李倩[1] 

机构地区：[1]遵义医学院附属医院消化内科,贵州省遵义市563000

出　　处：《世界华人消化杂志》2015年第18期3001-3004,共4页World Chinese Journal of Digestology

摘　　要：区域性门脉高压症(regional portal hypertension,RPH)也称为左侧门脉高压症,主要发病机制为各种原因造成的脾静脉梗阻,脾胃区域静脉压力增高,进而导致胃底静脉曲张,严重者可引发上消化道出血.其病因以胰腺疾病最常见,而由腹腔结核病灶压迫脾静脉所致者极其罕见,且腹腔结核症状不典型,极易误诊.现报道此类病例1例,望有助提高临床医生对RPH罕见病因之认识.Regional portal hypertension（RPH） is also known as high pressure in the left side of the portal venous system.The obstruction of the splenic vein increases the venous pressure of the spleen and stomach,resulting in gastric varices,which is the main pathogenesis of RPH.Severe cases can lead to upper gastrointestinal bleeding.Pancreatic disease is the most common cause,however,splenic venous oppression by abdominal tuberculosis（TB） is extremely rare,and is very likely to be misdiagnosed becauseof atypical TB symptoms.Here we report such a case,hoping to help clinicians to raise their awareness of this rare cause of RPH.

关 键 词：区域性门脉高压症 脾静脉梗阻 腹腔结核 

分 类 号：R52[医药卫生—内科学] R575[医药卫生—临床医学]