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Acute portal vein thrombosis; treatment by the transjugular approach - A case report

机译:急性门静脉血栓形成;讲习题方法处理 - 案例报告

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Acute non-cirrhotic portal vein thrombosis with or without inclusion of the main tributaries, i.e. splenic, superior and inferior mesenteric veins, is a severe disease causing considerable long-term morbidity and mortality. With the exception of a few case reports, larger studies investigating the natural course of the disease are rare. The study by Merkel et al.found a cumulative overall 6-year mortality rate of 17% and a cumulative 6-year mortality from bleeding of 14%. The cumulative risk of variceal bleeding was 24%. This shows that variceal bleeding is frequent and the main cause of death after portal vein thrombosis. The considerable morbidity and mortality justifies the search for effective treatments with the aim of thrombus resolution. This can be achieved by local or systemic thrombolysis including the transjugular approach to the portal system.
机译:急性非肝硬化门静脉血栓形成或不包含主要支流,即脾,优越和较差的肠系膜静脉,是一种严重的疾病,导致具有相当长的长期发病和死亡率。除了几个病例报告外,调查疾病自然过程的大型研究是罕见的。梅尔克尔等人的研究。累计综合6年的死亡率为17%,累积6年的死亡率为14%。腐蚀性出血的累积风险为24%。这表明静脉曲张出血经常和门静脉血栓形成后死亡的主要原因。具有相当大的发病率和死亡率证明了寻求具有血栓分辨率的有效治疗方法。这可以通过局部或全身溶栓来实现,包括门户系统的讲库方法。

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