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肝静脉压力梯度在门静脉高压相关疾病中应用的研究进展 被引量:13

Application of hepatic venous pressure gradient in portal hypertension-related diseases
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摘要 失代偿期肝硬化患者常并发门静脉高压,当门静脉压力达到一定程度时,可导致许多并发症,如上消化道静脉曲张及破裂出血、腹水、肝性脑病等,因此测定门静脉压力对于指导肝硬化患者治疗具有重要意义.由于门静脉系统解剖特点,直接测定门静脉压力困难较大,而测定肝静脉压力梯度(hepatic venous pressure gradient,HVPG)相对容易,后者间接反映门静脉压力最佳指标,临床上通过测定HVPG来反映门静脉压力.目前测定HVPG途径有两种,即用球囊导管通过颈静脉或股静脉通路到右肝静脉,其数值为扩张球囊后测定的压力即肝静脉楔压减去肝静脉入下腔静脉口的压力即肝静脉自由压力的差值.本文将对HVPG在门静脉高压相关疾病中应用研究进展做一综述.
出处 《中华肝脏病杂志》 CAS CSCD 北大核心 2014年第7期555-557,共3页 Chinese Journal of Hepatology
基金 成都军区总医院院管课题(2013YG-B009) 成都军区“十二五计划”面上项目(C14036)
关键词 肝静脉 疾病 肝静脉压力梯度 门静脉高压 Hepatic veins Disease Hepatic venous pressuregradient Portal hypertension
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