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1、SOSl一種縮寫與求救信號相同的疾病l一種迄今少有認識或常被誤診的疾病l一種具有諸多特征的疾病l一種死亡率極高的疾病l一種領(lǐng)臨床束手無策的疾病“空軍總醫(yī)院TIPS中心lPyrrolizidine alkaloids (PAs) 吡咯烷生物堿吡咯烷生物堿 lPanax notoginseng 土三七土三七lRheum officinale Baill 中藥大黃中藥大黃lPolygonum multiflorum 何首烏何首烏lChemotherapeutic agent 化學治療藥物化學治療藥物lHematopoietic stem cell transplantation 造血干細胞移植造血干
2、細胞移植土三七、大黃、何首烏土三七、大黃、何首烏Pyrrolizidine Pyrrolizidine alkaloids alkaloids ( P A s )( P A s ) 作 用作 用 于 肝 竇于 肝 竇肝小靜脈內(nèi)肝小靜脈內(nèi)皮層腫脹，皮層腫脹，微血栓引起微血栓引起的內(nèi)皮層細的內(nèi)皮層細胞 的 損 傷胞 的 損 傷肝竇膠原沉積、肝竇膠原沉積、小靜脈壁硬化，小靜脈壁硬化，靜脈內(nèi)層膠原的靜脈內(nèi)層膠原的進 一 步 沉 積進 一 步 沉 積肝細胞進一步壞肝細胞進一步壞死和靜脈的閉塞，死和靜脈的閉塞，實質(zhì)被壞死組織實質(zhì)被壞死組織和 纖 維 取 代和 纖 維 取 代0-20d 20-60d100d
3、 巴爾的摩巴爾的摩(Baltimore)標準標準西雅圖西雅圖(Seattle)標準標準1onetwothreefourfiveseries 1series 2I n t e r n a t i o n a l d i a g n o s t i c c r i t e r i a2021-12-1062021-12-1082021-12-1092021-12-10102021-12-10112021-12-10122021-12-1013我們我們找到找到了了 一種新的一種新的 12/10/2021空軍總醫(yī)院空軍總醫(yī)院 Air Force General Hospital，PLA14Before
4、 we know the disease is also poorly understoodOur technology began in 20082021-12-10161 1、The diameter and hemodynamics of the inferior vena cava were restoredThe diameter and hemodynamics of the inferior vena cava were restored2 2、Grafting of portal - vena cava TIPS shuntGrafting of portal - vena c
5、ava TIPS shunt2021-12-10172021-12-10182021-12-1019Hepatofugal flow嫁接嫁接支架方案治療支架方案治療SOSSOS2021-12-1020患者資料患者資料2021-12-1021結(jié)結(jié) 果果2021-12-1022The mean of PSG value decreased in all cases下腔靜脈壓力的變化2021-12-1023The mean pressure of the distal IVC dropped 肝功能變化2021-12-1024The mean AST, ALT and TB concentratio
6、n dropped to normal level支架分流道通暢率2021-12-1025滿意的生存率滿意的生存率2021-12-10262021-12-10272021-12-10282021-12-10292021-12-10302021-12-10311 1、Variceal bleeding immediately brought under Variceal bleeding immediately brought under controlcontrol2 2、Refractory ascites rapidly Refractory ascites rapidly absorbe
7、dabsorbed3 3、Biochemical tests of the indicators quickly returned to normalBiochemical tests of the indicators quickly returned to normal系列 12.32.42.73.23.84.34.55site 1site 2site 3site 4site 5site 6site 7site 82.32.42.73.23.84.34.550123456site 1site 2site 3site 4site 5site 6site 7site 8Distribution
8、 of SOS patients in ChinaDistribution of SOS patients in China is mainly distributed in the north of the Yangtze River BasinFirst, the SOS should be authenticatedTo date, doctors at most medical centers do not recognize SOSEnhanced CT has been fully able to confirm the diagnosis Of course, we still adhere to the pathological diagnosis of biopsyWe should be widely publicized awareness of SOS and differential diagnosisNo longer gaze glued to the hepatic vein and inferior vena cava.Portal hypertension is the main contradiction, crux of the problem.發(fā)現(xiàn) 認識 認證 解決Air Force General Hospital
醫(yī)學交流課件：肝竇阻塞綜合征
