开放期刊系统

肝门静脉积气CT与临床二例报告分析

仇 道斌, 胡 业飞

摘要

目的:进一步普及认识肝门静脉积气(HPVG)CT与临床诊治原则,提高患者救治率;方法:通过CT扫描检查,对其CT征象及临床进行分析探讨。结果:二例患者均具有HPVG典型的CT征象,诊断及时,治疗得当,临床完全康复。结论:老年患者多见,感染缺血为主要病因,CT可作为首选检查手段,及早诊断,精准治疗是提高患者生存率的关键因素。

关键词

肝门静脉积气;CT征象;临床救治

全文:

PDF

参考

[1]Cui M,lu X.portal venous gas[J].N Engl J Med,2018,379(21):37.

[2]朱志韬,孙志先,祖茂衡.门静脉、肠系膜静脉积气死亡1例[J].肝脏,2016,21(9):800.

[3]Nelson AL, Millington TM, Sahani D, et al. Hepatic portal venous gas: the ABCs of management[J].Arch Surg,2009, 144(6): 575-581.

[4]王芳菲,吕少城,贺强.门静脉积气病因及机制的研究进展[J].中华肝胆外科杂志,2021,27(9):717-720.

[5]Liu C, Wu CH, Zheng XD, et al. Hepatic portal venous gas: a case report and analysis of 131 patients using PUBMED and MEDLINE database[J]. Am J Emerg Med, 2021, 45: 506-9.

[6]Daneshmand A,Parys S,Rao S,et al,Portal venous gas:different aetiologies and their respective outcomes[J].ANZ J Surg,2020,90(5):767-771.

[7]刘扑琼,汤敏,张长顺.CT诊断肝门静脉积气2例报告[J].中国临床医学,2015,22(3):425-426.

[8]Liebman PR, Patten MT, Manny J, et al. Hepatic: portal venous gas in adults: etiology, pathophysiology and clinical significance[J]. Ann Surg,1978,187(3):281-7.

[9]Bloom RA, Lebensart PD, Levy P, et al. Survival after ultrasonographic demonstration of portal venous gas due to mesenteric artery occlusion[J]. Postgrad Med J,1990,66(772): 137-9.

[10]Koizumi C, Michihata N, Matsui H, et al. In-hospital mortality for hepatic portal venous gas: analysis of 1590 patients using a Japanese national inpatient database[J].World J Surg,2018,42(3):816-22.


(1 摘要 Views, 5 PDF Downloads)

Refbacks

  • 当前没有refback。