成人门静脉积气临床诊断与治疗策略  

Clinical diagnosis and treatment strategies for hepatic portal venous gas in adults

作　　者：张春[1] 刘哲[2] 张靖垚 王曙逢[3] 王铮[4] 刘昌 Zhang Chun;Liu Zhe;Zhang Jingyao;Wang Shufeng;Wang Zheng;Liu Chang(Department of Surgical Intensive Care Medicine,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an710061,China;Department of Clinical Laboratory,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an710061,China;Department of General Surgery,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an710061,China;Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi′an Jiaotong University,Xi′an710061,China;Key Laboratory of Critical Care and Life Support,Ministry of Education,Xi′an710061,China)

机构地区：[1]西安交通大学第一附属医院外科重症医学科,西安710061 [2]西安交通大学第一附属医院检验科,西安710061 [3]西安交通大学第一附属医院普通外科,西安710061 [4]西安交通大学第一附属医院肝胆外科,西安710061 [5]外科重症与生命支持教育部重点实验室,西安710061

出　　处：《中华消化外科杂志》2024年第11期1403-1409,共7页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金(82072145);陕西省重点研发计划(2022SF-374);中国初级卫生保健基金会项目(MTP2022B023)。

摘　　要：传统观点认为:门静脉积气(HPVG)是“不详征象”或“死亡征象”,一旦出现,病情进展快,病死率高,需立即手术治疗。随着医学技术的不断进步,研究者不断深入了解发现多种病因均可导致HPVG,并非均需手术治疗,预后并非不佳。但目前尚无关于HPVG诊断与治疗指南或共识指导临床管理,规范诊断与治疗行为。基于此,笔者回溯既往研究成果,结合团队临床诊断与治疗经验,对HPVG的流行病学特点、病因、发病机制、影像学表现、治疗策略及预后进行深入阐述,制定相应诊断与治疗流程,以期帮助临床医师提高该病的诊断与治疗效果,改善患者预后。It was previously believed that hepatic portal venous gas(HPVG)was an"ominous sign"or"death sign",and once it appeared,the disease progressed rapidly with a high mortality rate which required immediate surgical treatment.However,with the continuous progress of medical technology,researchers have gained a deeper understanding that various causes can lead to HPVG,not all of which required surgical treatment,and the prognosis was not poor.Unfortunately,there is no guideline or consensus on the diagnosis and treatment of HPVG to guide clinical management and standardize diagnostic and therapeutic behaviors.Therefore,the authors review previous literatures with combined clinical diagnosis and treatment experience to conduct profound discussion on the epidemiological features,etiology,pathogenesis,imaging features,treatment strategies,and progno-sis of HPVG,and develop corresponding diagnosis and treatment procedures with the aims to help clinicians to improve diagnostic and therapeutic outcomes and prognosis of patients.

关 键 词：门静脉积气 临床诊断与治疗 流程 规范 预后 

分 类 号：R657.3[医药卫生—外科学]