中文English
ISSN 1001-5256 (Print)
ISSN 2097-3497 (Online)
CN 22-1108/R

留言板

尊敬的读者、作者、审稿人, 关于本刊的投稿、审稿、编辑和出版的任何问题, 您可以本页添加留言。我们将尽快给您答复。谢谢您的支持!

姓名
邮箱
手机号码
标题
留言内容
验证码

自身免疫性肝硬化合并门静脉血栓及脾梗塞1例报告

王盖昊 刘凯辉 翟卫春 于晓辉

引用本文:
Citation:

自身免疫性肝硬化合并门静脉血栓及脾梗塞1例报告

DOI: 10.3969/j.issn.1001-5256.2017.03.024
基金项目: 

全军医药卫生科研计划项目(CLZ14JB01); 

详细信息
  • 中图分类号: R575.2

Research funding: 

 

  • 摘要: <正>1病例资料患者女性,77岁,因"腹胀、乏力、纳差10年,加重1周"于2013年7月13日入本院。10年前患者因腹胀、乏力、纳差在当地医院诊断为失代偿期肝硬化合并腹水,当时未能明确肝硬化病因,给予保肝、利尿等治疗后症状缓解。近1周患者上述症状再次加重,伴持续性腹痛,无恶心、呕吐、黑便和身目黄染等。查体:腹部膨隆,腹壁静脉显露,全腹压痛、反跳痛,脾大,左锁骨中线肋下2 cm触及,质硬光滑,有触痛,墨

     

  • [1]FIMOGNARI F L, VIOLI F.Portal vein thrombosis in liver cirrhosis[J].Intern Emerg Med, 2008, 3 (3) :213-218.
    [2]DANILA M, SPOREA I, POPESCU A, et al.Portal vein thrombosis in liver cirrhosis-the added value of contrast enhanced ultrasonography[J].Med Ultrason, 2016, 18 (2) :218-233.
    [3]FRANCOZ C, VALLA D, DURAND F.Portal vein thrombosis, cirrhosis, and liver transplantation[J].J Hepatol, 2012, 57 (1) :203-212.
    [4]WANG XL, CHEN XJ.Autoimmune hepatitis and cirrhosis with splenic infarction and cerebral infarction:a report of one case[J].J Clin Hepatol, 2014, 30 (5) :451-452. (in Chinese) 王晓霖, 陈秀记.自身免疫性肝炎肝硬化合并脾梗塞、脑梗塞1例报告[J].临床肝胆病杂志, 2014, 30 (5) :451-452.
    [5]HOU Y.The clinical comparison of cirrhosis patients with different etiological upper digestive tract hemorrhage[J].J Clin Exp Med, 2015, 14 (12) :999-1001. (in Chinese) 侯昀.肝硬化不同病因上消化道出血患者的临床对比[J].临床和实验医学杂志, 2015, 14 (12) :999-1001.
    [6]WANG T, YANG FF, HUANG YX, et al.A case report of superior mesenteric venous thrombosis in hepatitis B-related cirrhosis[J].Chin J Hepatol, 2012, 20 (1) :69-70. (in Chinese) 汪婷, 杨飞飞, 黄玉仙, 等.乙型肝炎肝硬化合并肠系膜上静脉血栓1例[J].中华肝脏病杂志, 2012, 20 (1) :69-70.
    [7]HEO DH, BAEK DY, OH SM, et al.Splenic infarction associated with acute infectious mononucleosis due to Epstein-Barr virus infection[J].J Med Virol, 2017, 89 (2) :332-336.
    [8]MYUNG DS, CHUNG CY, PARK HC, et al.Cerebral and splenic infarctions after injection of N-butyl-2-cyanoacrylate in esophageal variceal bleeding[J].World J Gastroenterol, 2013, 19 (34) :5759-5762.
    [9]SCHATTNER A, ADI M, KITROSER E, et al.Acute splenic infarction at an academic general hospital over 10 years:presentation, etiology, and outcome[J].Medicine (Baltimore) , 2015, 94 (36) :e1363.
    [10]FAN LY, HU P, WANG N, et al.A case of liver cirrhosis with spontaneous splenic infarction[J].J Chongqing Med Univ, 2009, 34 (1) :36, 108. (in Chinese) 范玲燕, 胡鹏, 王娜, 等.肝硬化合并自发性脾梗塞报告1例[J].重庆医科大学学报, 2009, 34 (1) :36, 108.
    [11]QIAO Y, NIU JQ, JIANG WG.Two cases of liver cirrhosis with splenic infarction[J].J Norman Bethune Univ (Med Sci) , 1996, 22 (3) :318. (in Chinese) 乔宇, 牛俊奇, 姜蔚国.肝硬化并发脾梗塞---附二例报告[J].白求恩医科大学学报, 1996, 22 (3) :318.
    [12]ANTOPOLSKY M, HILLER N, SALAMEH S, et al.Splenic infarction:10 years of experience[J].Am J Emerg Med, 2009, 27 (3) :262-265.
    [13]LIU DB, LIU JF, LIU Q, et al.Diagnosis and treatment of splenic infarction (report of 7 cases) [J].Chin Bases Clin General Surg, 2011, 18 (2) :200-201. (in Chinese) 刘东斌, 刘家峰, 刘强, 等.脾梗塞的诊断和治疗 (附7例报道) [J].中国普外基础与临床杂志, 2011, 18 (2) :200-201.
    [14]WEI CC, CHIU CZ.Atrial fibrillation and splenic infarction presenting with unexplained fever and persistent abdominal pain-a case report and review of the literature[J].Acta Cardiol Sin, 2012, 28 (2) :157-160.
  • 加载中
计量
  • 文章访问数:  1261
  • HTML全文浏览量:  9
  • PDF下载量:  365
  • 被引次数: 0
出版历程
  • 出版日期:  2017-03-20
  • 分享
  • 用微信扫码二维码

    分享至好友和朋友圈

目录

    /

    返回文章
    返回