类风湿关节炎合并特发性门脉高压症1例报道  

Rheumatoid arthritis complicated with idiopathic portal hypertension: one case report

作　　者：庄琳 杨晓玲[1] 常江[1] ZHUANG Lin;YANG Xiaoling;CHANG Jiang(Department of Gastroenterology,the Second Affiliated Hospital of Kunming Medical University,Kunming 650101,China)

机构地区：[1]昆明医科大学第二附属医院消化内科,云南昆明650101

出　　处：《胃肠病学和肝病学杂志》2019年第4期477-478,共2页Chinese Journal of Gastroenterology and Hepatology

摘　　要：特发性门脉高压症(idiopathic portal hypertension, IPH)是以窦前性门脉压增高为特征性表现的综合征。目前发病机制不明,可能与免疫、感染、遗传变异等有关。临床表现为脾大、食管静脉曲张、反复上消化道出血,而肝功能正常或基本正常。降低门脉高压预防消化道出血是治疗关键。近年来免疫在发病机制中的作用越来越引起人们重视,本文将1例类风湿关节炎合并特发性门脉高压症的病例报道如下。Idiopathic portal hypertension(IPH)is a syndrome with a characteristic of increasing sinus pressure.The current pathogenesis is unknown,and may be related to immunity,infection,genetic variation and so on.The clinical manifestations are splenomegaly,esophageal varices,repeated upper gastrointestinal bleeding,and normal or basically normal liver function.Lowering portal hypertension to prevent gastrointestinal bleeding is the key to treatment.In recent years,the role of immunity in the pathogenesis has attracted more and more attention.This article reported one case of rheumatoid arthritis complicated with idiopathic portal hypertension as follows.

关 键 词：特发性门脉高压症 类风湿关节炎 

分 类 号：R575[医药卫生—消化系统]