20xx年醫(yī)學(xué)專題—第四十二章---門靜脈高壓癥-資料下載頁(yè)
2024-11-16 00:59本頁(yè)面
【正文】 ver cirrhosis that include two types: viral hepatitis and schistosomiasis. The clin ical manifestation include splenomegaly, esophageal varices, ascites etc.,第七十一頁(yè)，共七十八頁(yè)。,今天，我們研究了門脈高壓癥 tension (PHT). PHT is a common （PHT）。門脈高壓癥是一種(yī zhǒnɡ)在中國(guó)很常見(jiàn)的疾病,治療很困難 disease in China and very difficulty to treat it. It’s main caused by liver 它主要由肝臟 cirrhosis that include two types: viral 肝硬化，有兩類：病毒 hepatitis and schistosomiasis. The clin 肝炎、血吸蟲(chóng)病。臨床 ical manifestation include splenomegaly, 表現(xiàn)為脾腫大， esophageal varices, ascites etc. 食管靜脈曲張出血，腹水等,第七十二頁(yè)，共七十八頁(yè)。,The diagnosis is not difficult but the treatment is not very easy. The main point of treatment is treating the esophageal varices bleeding. If theliver function is good (belong to Child A or B degree), the operation is of choice. The operation includes portacaval shunt and portoazygos disconnection. If the liver function is not good (belong to Child C degree),第七十三頁(yè)，共七十八頁(yè)。,診斷并不困難，但 the treatment is not very easy. The 治療是很不容易的。的 main point of treatment is treating 治療主要是治療 the esophageal varices bleeding. 食管靜脈曲張出血。 If theliver function is good (belong 如果肝功能良好（屬于 to Child A or B degree), the operation Child A或B級(jí)），手術(shù) is of choice. The operation includes 是選擇。操作包括 portacaval shunt and portoazygos 門腔靜脈分流術(shù)和門奇 disconnection. If the liver function is 斷流(du224。n li)術(shù)。如果肝功能 not good (belong to Child C degree), 不好的（屬于Child C級(jí)），,第七十四頁(yè)，共七十八頁(yè)。,you should choose medical treatment including blood transfusion, drugs such as Sandostatin and Stalimin, and Tipss as well as endoscopic injection Sclerotherapy and so on. That’s all for today.,第七十五頁(yè)，共七十八頁(yè)。,診斷并不困難，但 you should choose medical treatment 你應(yīng)該選擇(xuǎnz233。)醫(yī)療 including blood transfusion, drugs such 包括輸血，藥物 as Sandostatin and Stalimin, and Tipss 作為生長(zhǎng)抑素和stalimin，與TIPSS as well as endoscopic injection 以及內(nèi)鏡下注射 Sclerotherapy and so on. 硬化劑等。 That’s all for today. 今天就到這兒。,第七十六頁(yè)，共七十八頁(yè)。,END,結(jié) 束,第七十七頁(yè)，共七十八頁(yè)。,內(nèi)容(n232。ir243。ng)總結(jié),門靜脈高壓癥。門靜脈壓力正常值為1.27～2.35kPa，平均為1.76kPa。第一次大出血后的1～2年內(nèi)，約半數(shù)病人可以再次大出血。血象 血細(xì)胞計(jì)數(shù)減少，以白細(xì)胞和血小板計(jì)數(shù)改變最為明顯。食管胃底靜脈曲張(j236。ngm224。iqūzhāng)約有50％～60％并發(fā)大出血。手術(shù)對(duì)肝臟功能都將加重肝臟負(fù)擔(dān),可能引起肝功能衰竭。有加重肝缺氧和加重肝功能損害的缺點(diǎn)。1.此患者的診斷及診斷依據(jù)。門脈高壓癥是一種在中國(guó)很常見(jiàn)的疾病,治療很困難。結(jié) 束,第七十八頁(yè)，共七十八頁(yè)。,
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