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Ultima descărcare din IBN: 2022-06-22 23:48 |
![]() CAZACOV, Vladimir, NACU, Natalia, VANGHELI, Ludmila, NEGARÎ, Nadejda. Complicații tromboembolice după chirurgia hipertensiunii portale. In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 396. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Pag. 396-396 | ||||||
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Rezumat | ||||||
Background. Surgical management of patients with portal hypertension (PHT) should take into account the associated thromboembolic risk. Objective of the study. Analysis of the incidence and management of thromboembolic complications. Material and Methods. The retrospectively analyzed case study refers to 336 cirrhotic patients (Child A/B/C = 21/298/47) operated for PHT, severe hypersplenism: azygo-portal devascularization (340 cases), selective shunt operations (9 cases) and splenectomy with gastric disconnection (17 cases). Results. In this group of patients we registered 22 patients with portal vein thrombosis (PVT): 14 cases located in the trunk, 5 extended in the oval and 3 upstream. The clinical presentation had 3 types: asymptomatic, slow onset, insidious and active onset associated with ascites (8), gastrointestinal bleeding (3) and pulmonary thromboembolism (1 case). We identified a significant positive correlation of PVT with the Child C score, splenomegaly > 20cm and portal flow < 15cm / s. Patients adhered to anticoagulant / antiplatelet therapy, with individual regimen and duration of administration. We recorded: PVT recanalization (19), portal cavernoma (4); retrombosis (5 cases). Conclusion. Our observations note a different clinical, evolutionary, and prognostic diversity of PVT that argues for the treatment and monitoring of operated patients. |
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Cuvinte-cheie portal hypertension, thromboembolic complications, hipertensiune portală, complicaţii tromboembolice |
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