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胰源性门静脉高压症的诊治进展

Guangwen Zhou,Jiao Guan,Yong Jin

Chinese Journal of Hepatobiliary Surgery（2017）

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Abstract
胰源性门静脉高压症(PPH)约占肝外型门静脉高压症5％,其主要病因为胰腺肿瘤、慢性胰腺炎和胰管结石.PPH的发病机制及病理特点是由脾静脉与胰腺之间的解剖关系所决定的.与肝硬化门静脉高压不同,PPH患者食管、胃底静脉曲张比率明显降低,而胃体部静脉曲张的比率明显升高.门静脉造影是诊断PPH的金标准.PPH的治疗分为对症处理和对因处理两方面,应既针对门静脉高压症又针对原发病,尽可能做到同时解除基础病变并治疗并发症.
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Key words
Portal hypertension,Pancreatic disease,Diagnosis,Treatment
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