门静脉血栓的诊断困难(附1例报告)

E. V. Zuchovitskaya, E. V. Mahiliavets, N. Vasilevskaya
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引用次数: 1

摘要

门静脉血栓形成(PVT)既有局部因素(腹部炎性疾病、静脉损伤),也有全身因素(遗传性和获得性血栓形成)。在某些情况下,PVT的诊断有一些困难。抗凝治疗所需的持续时间尚未完全确定。本文报道了一例在血液科治疗的慢性骨髓增生性疾病患者的临床随访,该疾病因pvt的发展而加重,该病例表明特异性治疗,包括抗凝治疗和使用细胞抑制药物是治疗的最重要部分,可显著降低血栓复发的风险。采用复杂的病因学方法治疗由血栓形成加重的PVT可显著改善预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PORTAL VEIN THROMBOSIS: DIAGNOSTIC DIFFICULTIES (CASE REPORT)
Portal vein thrombosis (PVT) results from local factors (abdominal inflammatory diseases, vein injuries) as well as systemic ones (hereditary and acquired thrombophilia). In some cases, the diagnostics of PVT is associated with some difficulties. The necessary duration of anticoagulation therapy hasn't been fully established yet. The article presents a case of clinical follow-up of the patient being treated in the hematology department for chronic myeloproliferative disease, aggravated by the development of PVT. This case shows that specific therapy, including anticoagulation therapy and administration of cytostatic drugs is the most important part of the management and significantly reduces the risk of thrombosis recurrence. The use of complex etiopathogenetic approach to the treatment of PVT aggravated by thrombophilia significantly improves the outcome.
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