脾大

常规CT能较全面反映门静脉高压的肝外征象（脾大、腹水）。

Conventional CT could completely reflect the extrahepatic signs of portal hypertension ( splenomegaly , ascites ) .

HS的主要临床表现为贫血、黄疸、脾大、肝大，在感染等因素下可有急性溶血发作，家族史可助诊。

The major clinical manifestations of HS are anemia , jaundice , splenomegaly , hepatomegaly , and it can have acute hemolysis attack with the factors such as infection , family history is helpful .

背景：特发性门脉高压症（idiopathicportalhypertension，IPH）是病因不明的疾病，其主要临床特点为：明显的脾大伴有（或无）脾亢、贫血、消化道出血和门脉高压。

Background : Idiopathic portal hypertension ( IPH ) is a disease of unknown etiology .

方法：对88例肝静脉闭塞型布加综合征患者采用人工血管肠系膜上静脉下腔静脉C形架桥联合门奇断流术、脾动脉结扎或脾大部切除术进行治疗。

Methods : A total of 88 cases of B CS with hepatic venous occlusion underwent combined mesocaval C shunt with artificial vascular graft , pericardial devascularization , ligation of splenic artery or subtotal splenectomy .

前言：目的：评估脾大部切除术治疗门脉高压症（PHT）的优越性；

Objective : To evaluate the advantages of the partial splenectomy over portal hypertension ( PHT ) .

CMV肝炎是最常见的临床类型，发生率为41.3%，其中脾大发生率10.3%，多数患儿预后好，好转率80.5%；

CMV hepatitis was the most frequent type of disease with the incidence of 41.3 % , in which the incidence of splenomegaly was 10.3 % . Most of CMV hepatitis infants had a good prognosis with the improved rate 80.5 % .

主要体征包括肝大、脾大、腹水；

The major signs included hepatomegaly , splenomegaly , and ascites .

血吸虫病并发急性脾破裂118例诊治体会曼森氏血吸虫病性脾大

Diagnosis and treatment of 118 cases with acute splenic rupture with schistosomiasis

主要临床表现有发热、脾大、杵状指、贫血。

The major clinical manifestations are fever , splenomegaly , clubbing and anemia .

多普勒超声探测充血性脾大致门静脉血液动力学变化

Change in Porter Vein Hemodynamics Induced by Congestive Splenomegaly Detected with Doppler Sonography

脾大脾亢患者脾次全切除术后部分免疫指标的变化

Changes of several immunological indices after subtotal splenectomy in patients with splenomegaly and hypersplenism

贫血、脾大、肝大、黄症为本症四大表现。

Anemia , splenomegaly , hepatomegaly and jaundice were principle manifestations of the disease .

微波定量消融脾组织治疗脾大脾亢对患者免疫功能的影响

Effect of quantitative microwave ablation of spleen to treat splenomegaly and hypersplenism on immune function

脾大脾脏巨噬细胞在门脉高压症脾亢发生中的作用

The role of splenomegaly and splenic macrophage in the occurrence of hypersplenism of portal hypertension

目的：研究肝硬化巨脾症行脾大部切除保留部分脾脏的意义。

Objective : To study the significance of retaining part spleen in splenectomize of cirrhotic megalosplenia .

本组18例脾大中的12例合并脾亢，其中4例，只有脾大和脾亢，而无门脉高压迹象。

Splenomegaly was observed in 18 cases and in 12 cases it was accompanied by hypersplenism .

目的探讨脾大部切除加断流术治疗小儿门静脉高压症的临床疗效。

Objective To investigate the treatment efficacy of subtotal splenectomy and disconnection portal hypertension in children .

充血性脾大伴脾功能亢进患者不同脾切除术前后血小板相关抗体的变化

Changes of platelet antibody IgG level in patients with congestive splenomegaly and hypersplenism after different splenic operations

肝硬化患者多数为肝脏缩小、脾大、门脉增宽。

The features of cirrhotic portal hypertension were within liver , larger in spleen and widen in portal vein .

超声造影在脾大脾亢微波定量消融中的应用及治疗对脾亢、脾脏免疫功能的影响

The Value of Contrast Sonography in the Splenic Microwave Quantitative Ablation and the Clinical Effects on Hypersplenism and Spleen Immune Function

体格检查对脾大的敏感性不佳，所以不应作为排除传单诊断的证据。

The insensitivity of the physical examination in detecting splenomegaly means that it should not be used as evidence against infectious mononucleosis .

目的：研究口服葡萄糖负荷试验，是否能提高多普勒超声对充血性脾大的诊断水平。

Purpose : To study whether Doppler sonography with oral glucose load test could improve the rate of the differential diagnosis of congestive splenomegaly .

中重度脾大是最常见的阳性体征，部分患者有轻中度肝大、移动性浊音等。

Mo derate-severe splenomegaly was the most common positive sign , and mild-moderate hepatomegaly and shifting dullness could also be found in some cases .

结论：1.通过结扎脾静脉干及其主要属支建立的脾大模型是可靠的，基本上满足了脾大微波消融脾组织的要求。

It is reliable to establish splenomegaly model by ligation of splenic vein and its major tributaries , which basically meet the requirement of microwave ablation on treating splenomegaly . 2 .

结果艾滋病儿童肝大9例，胆囊增大3例，脾大5例，双肾集合系统分离1例。

Results Of the 30 AIDS children , there were nine patients with hepatomegaly , three cases with enlarged gallbladder , five with splenomegaly and one case with bilateral separated collective system .

结果：52例中，行脾规则或不规则叶、段及脾大部切除42例，15例联合应用2～3种保脾术式。

Results : Of the 52 cases , 42 cases have undergone regular or irregular spleen lobe , section , or greater part removal , 15 cases have undergone 2 to 3.different methods of spleen-saving operation .

该技术有望成为临床治疗脾大、脾亢及脾损伤的一种新的、安全有效的微创治疗方法。6.患者可以很好的耐受而无明显的腹痛、高热、感染等并发症。

This technology is expected to become a new , safe and effective minimally invasive treatment for splenomegaly , hypersplenism and splenic mass . 6 patients can be well tolerated without obvious abdominal pain , fever , infection and other complications . 7 .

结果208例胰源性门脉高压症患者中脾大者占98.1%，胃底静脉曲张者占87.5%，伴上消化道出血者占80.2%，慢性胰腺炎、胰腺假性囊肿、胰腺肿瘤共占总数的93.1%。

Results In 208 cases , the percentages of splenomegaly , gastric fundus vein varices and upper gastrointestinal hemorrhage were 98.1 % , 87.5 % and 80.2 % respectively . Chronic pancreatitis , pancreatic pseudocyst and pancreatic tumor accounted for 93.1 % patients with pancreatogenic portal hypertension .