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门脉高压症(Plrtol hypertension)是指门静脉系统中血行受阻、血液淤滞、压力增高的一组症候群。临床表现脾肿大、脾功能亢进,侧支循环形成及呕血、腹水等。因其病因复杂,且有些病例需特殊检查才能诊断清楚,因此,门脉高压症易于误诊、延误治疗。我院于1984年4月曾收治1例上消化道出血的病人,曾误诊为肝炎后肝硬化、门静脉高压症、食道静脉曲张破裂出血。经手术证实为肝前门脉高压症,后腹膜淋巴结核,肝门周围淋巴结核,脾大,食道静脉曲张破裂出血。为提高对本病的认识,现将本例报道和分析如下。患者女性,34岁。因呕血、柏油便1天于1984年4月9日急诊入院。既往上腹钝痛、反酸、气
Plrtol hypertension is a group of syndromes in which blood flow is blocked, blood stasis and pressure are increased in the portal system. Clinical manifestations of splenomegaly, hypersplenism, collateral circulation formation and hematemesis, ascites and so on. Because of its complex etiology, and some cases require special examination to make it clear, it is easy to misdiagnose and delay the treatment of portal hypertension. In our hospital in April 1984 had admitted a case of upper gastrointestinal bleeding, had misdiagnosed as cirrhosis of the liver, portal hypertension, esophageal variceal bleeding. The operation confirmed liver anterior portal hypertension, retroperitoneal lymph node tuberculosis, hepatic portal lymph nodes, splenomegaly, esophageal variceal bleeding. In order to improve the understanding of this disease, the present case report and analysis are as follows. Patient female, 34 years old. As a result of hematemesis, the asphalt was admitted to the emergency department on April 9, 1984. Past dull abdominal pain, acid reflux, gas