CAJ | 학술논문

儿童门脉高压症是指儿童门静脉压力超过5 mmHg,或门静脉、肝静脉压力梯度超过10 mmHg,是一种血流动力学异常综合征.儿童门脉高压症病因有:门静脉阻塞、先天性肝纤维化、胆道闭锁等.目前治疗方法有:药物治疗、曲张静脉套扎或硬化、手术治疗等.虽然儿童门脉高压症发病率较低,但可以引起腹水、胃食管静脉曲张破裂出血、肝性脑病等严重并发症.为加强对本病的认识,提高治愈率,减少并发症,现将其病因、发病机制、诊断和治疗方面的研究进展作一综述.
인동문맥고압증시지인동문정맥압력초과5 mmHg,혹문정맥、간정맥압력제도초과10 mmHg,시일충혈류동역학이상종합정.인동문맥고압증병인유:문정맥조새、선천성간섬유화、담도폐쇄등.목전치료방법유:약물치료、곡장정맥투찰혹경화、수술치료등.수연인동문맥고압증발병솔교저,단가이인기복수、위식관정맥곡장파렬출혈、간성뇌병등엄중병발증.위가강대본병적인식,제고치유솔,감소병발증,현장기병인、발병궤제、진단화치료방면적연구진전작일종술.
Children's portal hypertension is a hemodynamic abnormalities syndrome,it refers to children with portal vein pressure exceeds 5 mmHg,or portal vein,hepatic venous pressure gradient exceeds 10 mmHg.Etiology of portal hypertension of children:portal vein obstruction,congenital hepatic fibrosis,biliary atresia.Current treatment methods are:drug treatment,varicose vein ligation or sclerosis,surgical treatment.Although the incidence of children's portal hypertension is relatively low,it can cause various serious complications,such as ascites,gastric variceal bleeding,hepatic encephalopathy and so on.To increase awareness,improve the cure rate and reduce complications,the artical will review the children's portal hypertension etiology,pathogenesis,diagnosis,and treatment progress.