5. Eigene duplexsonographische Untersuchungen der Vena portae bei Gesunden und Patienten mit Leberzirrhose

2015 ◽  
pp. 62-74
Keyword(s):  
1999 ◽  
Vol 55 (22) ◽  
pp. 1613-1619
Author(s):  
SCHEPKENS H ◽  
VERBANCK J
Keyword(s):  

2010 ◽  
Vol 151 (35) ◽  
pp. 1415-1417 ◽  
Author(s):  
Judit Gervain

A hepatocellularis carcinoma korai stádiumában tünetszegény betegség. A daganatszövet növekedése és az erekbe történő betörése okoz általános és lokális tüneteket. Hasi diszkomfort, cachexia, az addig kompenzált cirrhosis terápiarezisztens dekompenzációja, súlyos esetben a vena portae vagy a hepaticus vénák thrombosisa jelzi a betegség progresszióját. A laboratóriumi leletek közül a vérkép a májfunkció, a haemostasis, a szénhidrát- és a kalciumanyagcsere eredmények gyors romlása jellemző. Az etiológia tisztázásához és a magas rizikójú betegek kiszűréséhez az alkohol, a gyógyszer- és a vegyszerártalom, a B-, C-, delta vírushepatitisek, az anyagcsere-betegségek és a nem alkoholos steatohepatitis vizsgálatai vezetnek. Májgóc esetén diagnosztikus értékű a perzisztálóan magas alfa-foetoprotein, 200 ng/ml felett >90% a pozitív prediktív értéke. A mindennapi gyakorlatban ritkábban mért biomarkerek a glikozilált alfa-foetoprotein-L3 és a K-vitamin-hiány indukálta des-gamma-karboxi-protrombin. HBeAg-pozitív krónikus B-hepatitises betegekben többszörös a tumormegjelenés valószínűsége, ha C genotípusú, a precore régiójában az 1762 és az 1764 helyen kettős mutációt tartalmazó B vírussal fertőzöttek. A magas rizikójú betegeknél 6 havonta, tisztázatlan dignitású, 1 cm alatti májgóc esetén 18–24 hónapon keresztül 3-4 havonta hasi ultrahangvizsgálat és alfa-foetoprotein-mérés javasolt.


1978 ◽  
Vol 374 (1) ◽  
pp. 23-29 ◽  
Author(s):  
F. W. Kapteina ◽  
W. Motz ◽  
D. Schwartz-Porsche ◽  
O. H. Gauer

1961 ◽  
Vol 39 (9) ◽  
pp. 1467-1470 ◽  
Author(s):  
J. Kohout ◽  
L. Korbová ◽  
J. Skořepa

The task of the study was to ascertain the participation of the liver in the formation of postheparin esterases. The chronic experiments were carried out on dogs with acrylic vascular cannulas placed into the hepatic vein and vena portae according to London. The modified operation is described in the paper in detail. Heparin was administered in the dose of 200 I.U. per 1 kg body weight into vena portae or one of the hepatic veins. Blood was drawn from these veins at short simultaneous intervals and the activity of postheparin esterases was determined in it. The activity of serum esterases was estimated by the Cherry–Crandall method. Control trials were carried out to study the activity of serum esterases after the administration of saline. The results suggest that postheparin esterases originate in the liver.


1913 ◽  
Vol 124 (1-4) ◽  
pp. 95-112 ◽  
Author(s):  
N. Burdenko
Keyword(s):  

CHEST Journal ◽  
2011 ◽  
Vol 140 (4) ◽  
pp. 266A
Author(s):  
Iveta Simkova ◽  
Monika Kaldararova ◽  
Marcela Tavacova ◽  
Marian Hrebik

The author, in the course of an inquiry into the properties of the blood, was led to notice some peculiarities in the contents of the vena portæ, and to investigate this subject more minutely. The results of the experiments which he made for this purpose are chiefly the following. The blood contained in the vena portæ is darker than that of the other veins, inclining more to a ruddy hue than to the Modena red. Being less homogeneous, it has the ap­pearance of being less perfectly elaborated. Its specific gravity was found to be very variable, but it is in general less than ordinary venous blood. It coagulates much more quickly, and contains a larger proportion of serum, but a much smaller proportion of al­bumen, than blood taken from other veins. The serum obtained from it is redder than common serum, in consequence of its retain­ing much of the colouring matter of the blood: it has also a greater specific gravity, and yields, on exsiccation, a greater weight of solid matter. On the application of heat, it concretes more quickly, but much less completely, than blood from the jugular vein; which peculiarities are attributed by the author to the different state and imperfect formation of the albumen contained in it. The crassamentum of the blood from the vena portae does not expel its serum so fully as blood from other vessels; but it remains a soft mass, unless artificial means be employed, and it yields a considerably smaller quantity of fibrin. The Ballot for William Snow Harris, Esq., which should have been taken at this Meeting, was postponed to the next Meeting, in consequence of there not being twenty-one Members present. The Society then adjourned over Whitsuntide to the 2nd of June.


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