肝紫癜病一例及文献复习

摘要

目的 提高对肝紫癜病(peliosis hepatis,PH)的认识.方法 结合1例肝紫癜病病人的临床资料分析及文献复习,探讨肝紫癜病的病因、临床表现、诊断、鉴别诊断及治疗方法等.结果 该病病因不明确,缺乏特异临床表现,术前诊断困难,需通过肝脏病理确诊,局灶性肝紫癜病可行手术切除,弥漫性应行肝移植术.结论 肝紫癜病是一种罕见的肝良性病变,对非特异性表现的肝脏病变,应考虑此病可能.%Objective To describe the clinical features of peliosis hepatics (PH).Methods With one case report and review of the related literatures,.the etiology,clinical manifestations,diagnosis,differential diagnosis,management and prognosis of PH were described.Results The etiology of PH remains unknown.Diagnose preoperatively is difficult for lack of specific clinical features,and PH is definitively diagnosed histologically.Surgical treatment may be one of the effective treatment methods.Conclusions PH is a rare liver benign disease which may be taken into consideration for nonspecific manifestations of liver lesions.