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经皮经肝肝内支架穿刺轨道技术开通TIPS术后分流道闭塞1例

发布时间:2018-12-06 14:45
【摘要】:正临床资料患者男,42岁,以"间歇呕血8年,经颈静脉肝内门体分流术(TIPS)术后7个月"为主诉入院。8年前患者饮酒后出现呕血,于当地医院救治,诊断为"乙肝肝硬化、门静脉高压",予以内科保守治疗后好转。后患者间歇呕血5次,于3年前行"脾切除术"。8个月前因再次呕血至我院,行TIPS术治疗(术中支架为裸支架),术后恢复良好,不定期复诊。1个月前至我院行彩色多普勒超声(彩超)检查提示分流道闭塞,后反
[Abstract]:A 42-year-old male with clinical data was admitted to the hospital for "intermittent hematemesis for 8 years, 7 months after (TIPS) through jugular intrahepatic portosystemic shunt". After drinking alcohol eight years ago, the patient developed hematemesis and was treated in a local hospital. "Hepatitis B cirrhosis, portal hypertension" was diagnosed and improved after conservative medical treatment. After 5 times of intermittent hematemesis, "splenectomy" was performed before 3 years. After 8 months of hematemesis, TIPS was performed in our hospital, and the postoperative recovery was good. Irregular follow-up. 1 month ago to our hospital color Doppler ultrasound (color Doppler ultrasound) examination suggested shunt occlusion, backward reverse
【作者单位】: 郑州大学第一附属医院放射介入科;
【基金】:河南省卫生科技攻关重点项目(201402011)
【分类号】:R575.2

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