案例报告:一种新的方法来治疗具有耐火性胸和炎的伪胸高血压
Ahmet Sakiri1, Annalise De Marco1, Shreekar Patel1
1Department of Gastroenterology, Mercyhealth, Rockford, IL, United States.
Frontiers in gastroenterology (Lausanne, Switzerland)
|March 13, 2026
概括
伪输血中枢性高血压 (PPMH) 是一种罕见的疾病,可能是由胰腺神经内分泌瘤引起的. 在这种罕见诊断的患者中,对上层中枢静脉 (SMV) 进行支架,有效地降低了压力,改善了血液流动.
科学领域:
- 血管医学 血管医学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 伪便携体内高血压 (PPMH) 是一种罕见的,非肝硬化形式的门内高血压.
- 与肝硬化门高血压不同,PPMH源于肝外的原因,如静脉血栓形成或外部压缩.
- 胰腺神经内分泌瘤 (PNETs) 是PPMH的一个不常见的病因.
研究的目的:
- 将PPMH二次病例报告给一个PNET.
- 为了说明PPMH在这种情况下的诊断挑战和管理.
- 要突出内血管干预对PPMH后遗症的疗效.
主要方法:
- 一个患有PNET且呈现PPMH症状的患者的病例报告.
- 诊断工作包括成像,活检和静脉检查.
- 干预涉及血管塑造和顶层中枢静脉 (SMV) 的支架.
主要成果:
- 这名患者出现了,胸和肺部损伤,原因是PNET压缩了SMV.
- 静脉检查显示了严重的SMV阻塞与高压 (32厘米H2O).
- SMV支架将压力梯度降低了10厘米的H2O,改善了肝细胞的流动,并解决了静脉.
结论:
- PNETs可以引起显著的肝外门高血压.
- 识别和治疗潜在原因对于PPMH管理至关重要.
- SMV的内血管支架可以成为PPMH的成功息治疗方法.
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