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肝静脉压力梯度及经颈静脉肝内门体分流术在非肝硬化门脉高压中的诊治进展

Advances of hepatic venous pressure gradient and transjugular intrahepatic portosystemic shunt in the diagnosis and treatment of non-cirrhotic portal hypertension
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摘要 门静脉高压症是指由肝硬化或非肝硬化因素引起的门静脉系统压力持续升高的一组临床综合征,可表现为食管胃底静脉曲张破裂出血、腹水、脾大、脾功能亢进等。任何原因影响门静脉系统血流或血管阻力均可能导致门静脉高压。门静脉高压症中大多数是肝硬化门脉高压(cirrhotic portalhypertension,CPH),据报道,在西方国家中CPH占门脉高压患者的90%,亚、非两洲中CPH占门脉高压人群的80%[1]。当出现门静脉高压的症状和体征,但生化指标、影像学检查或组织学检查均无肝硬化依据时,临床上统称为非肝硬化性门静脉高压(NCPH)[2]。
作者 周娟燕 汤进芝 汪文生 ZHOU Juan-yan;TANG Jin-zhi;WANG Wen-sheng
出处 《中国实用内科杂志》 CAS CSCD 北大核心 2024年第7期602-606,616,共6页 Chinese Journal of Practical Internal Medicine
基金 安徽医科大学校科研基金(2019xkj059)。
关键词 非肝硬化门脉高压 经颈静脉肝内门体分流术 肝静脉压力梯度 non-cirrhotic portal hypertension transjugular intrahepatic portalsystemic shunt hepatic venous pressure gradient
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