Portal vein thrombosis(PVT) is one of the most common complications occurring during the natural course of liver cirrhosis.Even though PVT is often asymptomatic,the worsening of liver function,an unexpected episode of...Portal vein thrombosis(PVT) is one of the most common complications occurring during the natural course of liver cirrhosis.Even though PVT is often asymptomatic,the worsening of liver function,an unexpected episode of gastrointestinal bleeding or ascitic decompensation may be landmarks of PVT development.Beyond these clinical manifestations,it is debated whether PVT really has an impact on liver cirrhosis natural history or rather represents only one of its consequences.Probably PVT development should not only be considered as a matter of impaired blood flow or pro-coagulation tendency.On one hand,PVT seems a consequence of the worsening in portal vein outflow due to the increased hepatic resistance in cirrhotic livers.On the other hand,vascular microthrombosis secondary to necroinflammation may cause liver ischemia and infarction,with loss of hepatic tissue(parenchymal extinction) which is replaced by fibrotic tissue.Therefore,PVT might also be considered as the overt manifestation of the liver fibrosing process evolution and anticoagulant therapy may thus have microscopic indirect effects also on the progression of liver disease.At present,a connection between PVT development and the progression of liver fibrosis/cirrhosis has not yet been demonstrated.Nevertheless,it is not clear if PVT development may worsen cirrhotic patients' outcome by itself.Some authors tried to assess liver transplant benefit in PVT cirrhotic patients but data are contrasting.In this review,we will try to answer these questions,providing a critical analysis of data reported in literature.展开更多
It is a very difficult problem to directly determine fluid pressure duringhydrocarbon migration and accumulation in sedimentary basins. pVt modeling of coupling hydrocarbonfluid inclusion of its coeval aqueous fluid i...It is a very difficult problem to directly determine fluid pressure duringhydrocarbon migration and accumulation in sedimentary basins. pVt modeling of coupling hydrocarbonfluid inclusion of its coeval aqueous fluid inclusion provides a powerful tool for establishing therelationship of formation pressure evolution with time. Homogenization temperature of fluidinclusion can routinely be measured under microthermometric microscopy. Crushing technique has beenemployed to obtain the composition of fluid inclusions, and the commercial software VTFLINC easilyand rapidly completes the construction of p-t phase diagram. The minimum trapping pressure ofhydrocarbon fluid inclusion would be then determined in the p-t space. In this paper, three samplesof YC21-1-1 and YC21-1-4 wells at YC21-1 structural closure, Qiongdongnan basin, South China Sea,were selected for the pVt modeling practice, and the formation pressure coefficient (equals to fluidpressure/hydrostatic pressure) changing trend with time has primarily been established. Themodeling results also indicate that the reservoirs of Ling-shui and Yacheng formations in YC21-1structure are within a very high potential system and would have undergone a discharging of thermalfluids through top seal rupture, which depicts that there is a very high risk for natural gasexploration in this area.展开更多
文摘Portal vein thrombosis(PVT) is one of the most common complications occurring during the natural course of liver cirrhosis.Even though PVT is often asymptomatic,the worsening of liver function,an unexpected episode of gastrointestinal bleeding or ascitic decompensation may be landmarks of PVT development.Beyond these clinical manifestations,it is debated whether PVT really has an impact on liver cirrhosis natural history or rather represents only one of its consequences.Probably PVT development should not only be considered as a matter of impaired blood flow or pro-coagulation tendency.On one hand,PVT seems a consequence of the worsening in portal vein outflow due to the increased hepatic resistance in cirrhotic livers.On the other hand,vascular microthrombosis secondary to necroinflammation may cause liver ischemia and infarction,with loss of hepatic tissue(parenchymal extinction) which is replaced by fibrotic tissue.Therefore,PVT might also be considered as the overt manifestation of the liver fibrosing process evolution and anticoagulant therapy may thus have microscopic indirect effects also on the progression of liver disease.At present,a connection between PVT development and the progression of liver fibrosis/cirrhosis has not yet been demonstrated.Nevertheless,it is not clear if PVT development may worsen cirrhotic patients' outcome by itself.Some authors tried to assess liver transplant benefit in PVT cirrhotic patients but data are contrasting.In this review,we will try to answer these questions,providing a critical analysis of data reported in literature.
文摘It is a very difficult problem to directly determine fluid pressure duringhydrocarbon migration and accumulation in sedimentary basins. pVt modeling of coupling hydrocarbonfluid inclusion of its coeval aqueous fluid inclusion provides a powerful tool for establishing therelationship of formation pressure evolution with time. Homogenization temperature of fluidinclusion can routinely be measured under microthermometric microscopy. Crushing technique has beenemployed to obtain the composition of fluid inclusions, and the commercial software VTFLINC easilyand rapidly completes the construction of p-t phase diagram. The minimum trapping pressure ofhydrocarbon fluid inclusion would be then determined in the p-t space. In this paper, three samplesof YC21-1-1 and YC21-1-4 wells at YC21-1 structural closure, Qiongdongnan basin, South China Sea,were selected for the pVt modeling practice, and the formation pressure coefficient (equals to fluidpressure/hydrostatic pressure) changing trend with time has primarily been established. Themodeling results also indicate that the reservoirs of Ling-shui and Yacheng formations in YC21-1structure are within a very high potential system and would have undergone a discharging of thermalfluids through top seal rupture, which depicts that there is a very high risk for natural gasexploration in this area.
