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急性胰腺炎血管并发症的诊断和治疗

朱昌 朱奕舟 王颖 徐晓蓉

引用本文:
Citation:

急性胰腺炎血管并发症的诊断和治疗

DOI: 10.3969/j.issn.1001-5256.2018.06.048
基金项目: 

上海市自然科学基金(15ZR1432800); 

详细信息
  • 中图分类号: R576

Diagnosis and treatment of vascular complications of acute pancreatitis

Research funding: 

 

  • 摘要: 重症急性胰腺炎是消化科凶险的急腹症之一,起病急、病情重,可有一系列并发症,其中随着对其认识的提高及诊断方法的进步,血管并发症发病率逐渐升高。血管并发症可分为静脉性和动脉性,需根据临床表现、实验室及影像学检查进行诊断及治疗,目前临床上诊治强调个体化。综述了急性胰腺炎血管并发症的种类,临床表现,实验室、影像学检查及诊断、治疗方面的最新进展,以期对临床工作及相关研究有所帮助。

     

  • [1]PATEL R, CHOKSI D, CHAUBAL A, et al.Renal vein and inferior vena cava thrombosis:a rare extrasplanchnic complication of acute pancreatitis[J].ACG Case Rep J, 2016, 3 (4) :e172.
    [2]ASWANI Y, HIRA P.Venous complications of pancreatitis:a review[J].JOP, 2015, 16 (1) :20-24.
    [3]THAJUDEEN B, BUDHIRAJA P, BRACAMONTE ER.Bilateral renal artery thrombosis secondary to acute necrotizing pancreatitis[J].Clin Kidney J, 2013, 6 (5) :503-506.
    [4]CASTILLO-TANDAZO W, ORTEGA J, MARISCAL C.Spontaneous regression of splenic artery pseudoaneurysm:a rare complication of acute pancreatitis[J].Int Med Case Rep J, 2013, 6:17-20.
    [5]THILLAI M, SETHI P, NARAYANA MENON R, et al.Cystic artery pseudoaneurysm following acute necrotising pancreatitis[J].BMJ Case Rep, 2017.[Epub ahead of print]
    [6]MALLICK IH, WINSLET MC.Vascular complications of pancreatitis[J].JOP, 2004, 5 (5) :328-337.
    [7]BALTHAZAR EJ.Complications of acute pancreatitis:clinical and CT evaluation[J].Radiol Clin North Am, 2002, 40 (6) :1211-1227.
    [8]AGRAWAL GA, JOHNSON PT, FISHMAN EK.Splenic artery aneurysms and pseudoaneurysms:clinical distinctions and CT appearances[J].AJR Am J Roentgenol, 2007, 188 (4) :992-999.
    [9]TESSIER DJ, STONE WM, FOWL RJ, et al.Clinical features and management of splenic artery pseudoaneurysm:case series and cumulative review of literature[J].J Vasc Surg, 2003, 38 (5) :969-974.
    [10]VERDE F, FISHMAN EK, JOHNSON PT.Arterial pseudoaneurysms complicating pancreatitis:literature review[J].J Comput Assist Tomogr, 2015, 39 (1) :7-12.
    [11]UDD M, LEPPANIEMI AK, BIDEL S, et al.Treatment of bleeding pseudoaneurysms in patients with chronic pancreatitis[J].World JSurg, 2007, 31 (3) :504-510.
    [12]HYARE H, DESIGAN S, BROOKES JA, et al.Endovascular management of major arterial hemorrhage as a complication of inflammatory pancreatic disease[J].J Vasc Interv Radiol, 2007, 18 (5) :591-596.
    [13]KIRBY JM, VORA P, MIDIA M, et al.Vascular complications of pancreatitis:Imaging and intervention[J].Cardiovasc Intervent Radiol, 2008, 31 (5) :957-970.
    [14]SAAD DF, GOW KW, REDD D, et al.Renal artery pseudoaneurysm secondary to blunt trauma treated with microcoil embolization[J].J Pediatr Surg, 2005, 40 (11) :e65-e67.
    [15]BALACHANDRA S, SIRIWARDENA AK.Systematic appraisal of the management of the major vascular complications of pancreatitis[J].Am J Surg, 2005, 190 (3) :489-495.
    [16]BALLINAS-OSEGUERA GA, MARTINEZ-ORDAZ JL, SINCO-NAJERA TG, et al.Management of pseudoaneurysm of the splenic artery:Report of two cases[J].Cir Cir, 2011, 79 (3) :246-251, 268-273.
    [17]PIFFARETTI G, TOZZI M, LOMAZZI C, et al.Splenic artery aneurysms:Postembolization syndrome and surgical complications[J].Am J Surg, 2007, 193 (2) :166-170.
    [18]BERGERT H, HINTERSEHER I, KERSTING S, et al.Management and outcome of hemorrhage due to arterial pseudoaneurysms in pancreatitis[J].Surgery, 2005, 137 (3) :323-328.
    [19]BHASIN DK, RANA SS, SHARMA V, et al.Non-surgical management of pancreatic pseudocysts associated with arterial pseudoaneurysm[J].Pancreatology, 2013, 13 (3) :250-253.
    [20]GONZALEZ JM, EZZEDINE S, VITTON V, et al.Endoscopic ultrasound treatment of vascular complications in acute pancreatitis[J].Endoscopy, 2009, 41 (8) :721-724.
    [21]STABILE BE, WILSON SE, DEBAS HT.Reduced mortality from bleeding pseudocysts and pseudoaneurysms caused by pancreatitis[J].Arch Surg, 1983, 118 (1) :45-51.
    [22]di CESARE E, di SIBIO A, GENNARELLI A, et al.An unusual case of ascending pancreatitis with mediastinal involvement:a case report with CT and MRI findings[J].Case Rep Radiol, 2014, 2014:925105.
    [23]GONZELEZ HJ, SAHAY SJ, SAMADI B, et al.Splanchnic vein thrombosis in severe acute pancreatitis:A 2-year, single-institution experience[J].HPB (Oxford) , 2011, 13 (12) :860-864.
    [24]EASLER J, MUDDANA V, FURLAN A, et al.Portosplenomesenteric venous thrombosis in patients with acute pancreatitis is associated with pancreatic necrosis and usually has a benign course[J].Clin Gastroenterol Hepatol, 2014, 12 (5) :854-862.
    [25]WANG L, LIU G J, CHEN YX, et al.Sinistral portal hypertension:Clinical features and surgical treatment of chronic splenic vein occlusion[J].Med Princ Pract, 2012, 21 (1) :20-23.
    [26]PONZIANI FR, ZOCCO MA, CAMPANALE C, et al.Portal vein thrombosis:Insight into physiopathology, diagnosis, and treatment[J].World J Gastroenterol, 2010, 16 (2) :143-155.
    [27]CHAWLA Y, DUSEJA A, DHIMAN RK.Review article:The modern management of portal vein thrombosis[J].Aliment Pharmacol Ther, 2009, 30 (9) :881-894.
    [28]PARK DE, CHAE KM.Chylous ascites caused by acute pancreatitis with portal vein thrombosis[J].J Korean Surg Soc, 2011, 81 (Suppl 1) :s64-s68.
    [29]REBOURS V, BOUDAOUD L, VULLIERME MP, et al.Extrahepatic portal venous system thrombosis in recurrent acute and chronic alcoholic pancreatitis is caused by local inflammation and not thrombophilia[J].Am J Gastroenterol, 2012, 107 (10) :1579-1585.
    [30]GINES A, FERNANDEZ-ESPARRACH G.Endoscopic ultrasonography for the evaluation of portal hypertension[J].Clin Liver Dis, 2010, 14 (2) :221-229.
    [31]CAI DM, LUO Y, LI YZ, et al.Assessing splenic vein complications in patients with acute pancreatitis using color Doppler ultrasound and contrast enhanced ultrasound[J].J Sichun Univ:Med Sci Edition, 2014, 45 (5) :850-853. (in Chinese) .蔡迪明, 罗燕, 李永忠, 等.彩色超声与超声造影诊断急性胰腺炎脾静脉并发症的对比研究[J].四川大学学报:医学版, 2014, 45 (5) :850-853.
    [32]NADKARNI NA, KHANNA S, VEGE SS.Splanchnic venous thrombosis and pancreatitis[J].Pancreas, 2013, 42 (6) :924-931.
    [33]HARNIK IG, BRANDT LJ.Mesenteric venous thrombosis[J].Vasc Med, 2010, 15 (5) :407-418.
    [34]TURNES J, GARCIA-PAGAN JC, GONZALEZ M, et al.Portal hypertension-related complications after acute portal vein thrombosis:Impact of early anticoagulation[J].Clin Gastroenterol Hepatol, 2008, 6 (12) :1412-1417.
    [35]KEELING D, BAGLIN T, TAIT C, et al.Guidelines on oral anticoagulation with warfarin-fourth edition[J].Br J Haematol, 2011, 154 (3) :311-324.
    [36]PLESSIER A, DARWISH-MURAD S, HERNANDEZ-GUERRA M, et al.Acute portal vein thrombosis unrelated to cirrhosis:A prospective multicenter follow-up study[J].Hepatology, 2010, 51 (1) :210-218.
    [37]HALL TC, GARCEA G, METCALFE M, et al.Management of acute non-cirrhotic and non-malignant portal vein thrombosis:Asystematic review[J].World J Surg, 2011, 35 (11) :2510-2520.
    [38]CAO G, KO GY, SUNG KB, et al.Treatment of postoperative main portal vein and superior mesenteric vein thrombosis with balloon angioplasty and/or stent placement[J].Acta Radiol, 2013, 54 (5) :526-532.
    [39]ZHOU J, KE L, TONG Z, et al.Risk factors and outcome of splanchnic venous thrombosis in patients with necrotizing acute pancreatitis[J].Thromb Res, 2015, 135 (1) :68-72.
    [40]AHMED M, AZIZ MU, MANSOOR MA, et al.Vascular complications in cases of acute pancreatitis-CT scan based study[J].J Pak Med Assoc, 2016, 66 (8) :977-989.
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  • 收稿日期:  2017-11-14
  • 出版日期:  2018-06-20
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