首页|奥沙利铂引起门静脉肝窦血管病诊治1例

奥沙利铂引起门静脉肝窦血管病诊治1例

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奥沙利铂(oxaliplatin,OXA)为第3代铂类抗癌药,广泛应用于中晚期结直肠癌、肝癌及胃癌等的治疗,但可引起肝脏微血管病变等副作用.本文报道1例奥沙利铂引起的非肝硬化门静脉高压患者,经过肝组织病理诊断为门静脉肝窦血管病,并通过中西医结合诊治,患者临床症状与食管胃底静脉曲张得到缓解;此外,文献回顾了 OXA引起门静脉肝窦血管病等肝脏微血管病变的特点.
The case report:Diagnosis and treatment of porto-sinusoidal vascular disease caused by oxaliplatin
Oxaliplatin(OXA)is a third-generation platinum-based anticancer drug,which is widely used in the treatment of colorectal cancer,liver cancer and gastric cancer.However,its use can lead to several side effects,including hepatic microvascular damage.This paper reports a case of non-cirrhotic portal hypertension caused by OXA,which was diagnosed as porto-sinusoidal vascular disease by liver histopathology.The patient was successfully treated with a combination of traditional Chinese medicine and Western medicine,leading to sig-nificant clinical improvement and alleviation of esophageal and gastric varices.In addition,the literature reviewed the characteristics of hepatic microvascular disease caused by OXA.

oxaliplatinporto-sinusoidal vascular disorderliver sinusoidal endothelial cellmechanism

李容容、李盟、孙鑫、邢枫、刘成海

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上海中医药大学附属曙光医院肝病研究所(上海,201203)

上海市中医临床重点实验室

肝肾疾病病证教育部重点实验室

奥沙利铂 门静脉肝窦血管病 肝窦内皮细胞 机制

2024

中国中西医结合消化杂志
华中科技大学同济医学院,中国中西医结合学会消化系统疾病专业委员会,中华中医药学会脾胃病专业委员会

中国中西医结合消化杂志

CSTPCD
影响因子:1.363
ISSN:1671-038X
年,卷(期):2024.32(12)