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脾静脉狭窄可用血管内支架来治疗。作者报道1例酒精性肝硬化引起上消化道出血的病例,保守治疗无效后行TIPS治疗。门静脉造影显示有严重的胃静脉曲张及脾静脉5cm长的狭窄段。在用一个Wallstent作了肝内分流后,测得该门脉压力虽降低,脾静脉狭窄段两端仍有17mmHg的压力差,胃静脉曲张未消失,即用第二个Wallstent放入脾静脉狭窄段。结果胃静脉曲张消失,脾静脉狭窄两端无压力差,病人出血被控制。以后反复US检查均见肝内分流通畅,脾静脉无再狭窄。脾静脉狭窄为酒精性肝病合并酒精性胰腺炎的一种不少见并发症。这种病人
Splenic vein stenosis can be treated with endovascular stents. The authors report a case of alcoholic cirrhosis caused by upper gastrointestinal bleeding, conservative treatment ineffective TIPS treatment. Portal venography angiography showed severe gastric varices and splenic vein 5cm long stenosis. Intrahepatic shunt in a Wallstent, measured that the portal pressure is reduced, there are still 17mmHg pressure difference at both ends of the splenic vein stenosis, gastric varices did not disappear, that is, with a second Wallstent into the splenic vein stenosis segment. Results of gastric varices disappeared, no pressure difference between the two ends of splenic vein stenosis, bleeding was controlled. After repeated US examination showed intrahepatic shunt patency, splenic vein no restenosis. Splenic vein stenosis is a rare complication of alcoholic liver disease complicated with alcoholic pancreatitis. This patient