门脉高压症门脉高压症The Portal The Portal HypertensionHypertension贺志军教授简介贺志军教授简介1982 – 1987 衡阳医学院医疗系,获学士学位1987 – 1991 耒阳市人民医院外科,住院医生1991 – 1996 湘雅医院普外科硕博连读研究生,获博士学位1996 – 1998 芬兰Tampere 大学医院普外科博士后,临床外科 访问学者1998 – 2000 青岛大学医学院附属烟台毓璜顶医院肝胆外科 主任,副教授,硕士生导师2000 – 2003 美国西北大学腹部器官移植中心、德州大学医 学院、匹兹堡大学器官移植中心访问学者2003 – 现在 湘雅二医院器官移植中心教授,外科副主任授课主要内容授课主要内容什么是门脉高压?What is the portal hypertension?门脉高压如何产生?How dose it happen?门脉高压的危害?What is its results?如何诊断门脉高压?Diagnosis如何治疗门脉高压?Treatment解剖 解剖 AnatomyAnatomy什么是门脉高压症?什么是门脉高压症? The definition of portal hypertensionThe definition of portal hypertensionPortal hypertension is defined as a portal vein pressure above the normal range of 5 to 8 mm Hg. Portal hypertension may also be defined by the hepatic vein-portal vein pressure gradient, which is greater than 5 mm Hg in portal hypertensive states. 病因 病因 EtiologyEtiology宏观肝前性、肝性、肝后性 肝前性、肝性、肝后性 prehepatic, hepatic and posthepatic conditions.prehepatic, hepatic and posthepatic conditions.微观窦前性、窦性、窦后性 窦前性、窦性、窦后性 presinusoidal, sinusoidal, or postsinusoidal conditions.presinusoidal, sinusoidal, or postsinusoidal conditions.病理生理 病理生理 pathophysiologypathophysiology增加门脉压力的因素 the factors of portal hypertensionincreased resistanceincreased resistance : cirrhosis, portal vein thrombosis, or hepatic venous obstruction.: cirrhosis, portal vein thrombosis, or hepatic venous obstruction.increase in splanchnic flowincrease in splanchnic flow : splanchnic vasodilation by various cytokines and h...