摘要
目的探讨肝硬化门静脉高压结肠异位静脉曲张破裂出血的临床特点、诊断难点及治疗策略优化方向。方法回顾性分析2025年2月嘉兴大学附属新安国际医院消化内科临床诊断的1例肝硬化门静脉高压结肠异位静脉曲张破裂出血患者的临床数据资料,结合相关文献复习,总结诊疗经验。结果患者经肠镜检查明确降结肠静脉曲张破裂出血,血管裸露,急诊肠镜下组织夹止血,出血停止后,继续药物预防出血治疗。拟择期内镜下EcV序贯治疗。结论肝硬化门静脉高压结肠异位静脉曲张破裂出血发生率较低,诊断难度大,出血风险高,治疗策略存在争议,需进一步优化诊断与治疗策略,以期提高患者治疗效果。
ObjectiveTo explore the clinical characteristics,diagnostic difficulties and optimization direction of treatment strategies of ectopic varicose veins rupture and bleeding in the colon of cirrhotic portal hypertension.MethodsA retrospective analysis was conducted on the clinical data of a patient with cirrhotic portal hypertension and ectopic varicose rupture and bleeding of the colon diagnosed clinically in the Department of Gastroenterology of the Xin′an International Hospital Affiliated to Jiaxing University in February 2025.Combined with the review of relevant literature,the diagnosis and treatment experience was summarized.ResultsThe patient was diagnosed by colonoscopy with rupture and bleeding of varicose veins in the descending colon,and the blood vessels were exposed.After hemostasis with tissue clips under emergency colonoscopy and the bleeding stopped,drug treatment for bleeding prevention was continued.Sequential endoscopic EcV treatment was planned to be scheduled at an alternative time.ConclusionsThe incidence of rupture and bleeding of ectopic varicose veins in the colon due to cirrhotic portal hypertension is relatively low.The diagnosis is difficult,the risk of bleeding is high,and the treatment strategies are controversial.It is necessary to further optimize the diagnosis and treatment strategies in order to improve the therapeutic effect of patients.
作者
邢星星
俞菊英
计钰亮
吴香
Xing Xingxing;Yu Juying;Ji Yuliang;Wu Xiang(Department of Gastroenterology,Xin′an International Hospital Affiliated to Jiaxing University,Jiaxing 314000,China)
出处
《中国医师杂志》
2025年第4期517-519,526,共4页
Journal of Chinese Physician
关键词
肝硬化
门静脉高压
异位静脉曲张破裂出血
Liver cirrhosis
Portal hypertension
Rupture and bleeding of ectopic varicose veins
作者简介
通信作者:俞菊英,Email:yjyjxzyy@163.com。
