摘要
本文采用脾切除贲门周围血管离断（改良Ｈａｓｓａｂ），加肠腔静脉吻合（分流）手术治疗门脉高压症上消化道大出血１１例。肝功能Ⅰ级１例，Ⅱ级６例，Ⅲ级４例。手术成功率１００％。随访观察６至９个月，２例肝功能复查由原Ⅲ级恢复到Ⅰ级。这种断流、分流联合术式，不仅能减少或消除术后再出血及肝性脑病的发生，而且对严重肝功能损害及难以控制的腹水，亦能较好控制。
cases of upper alimentary tract bleeding of portal venous hypertention weretreated by splenectomy, cutting the blood vessels around the cardial opening and anastomosing entro-venae cavae. The success rate of surgery is 100%. After following vistfrom 6 to 9 months. 2 cases have liver function recovered from Ⅲ to Ⅰ. This method ofcutting flow combined with fraction flow not only reduces post-opration bleeding, theincidence of hepatic encephalopathy. but it can also control the patients' ascites whichcaused by serious liver function damage which is difficult to control before operation.
出处
《临沂医学专科学校学报》
1996年第2期113-116,共4页
Journal of Linyi Medical College
关键词
门脉高血压
出血
胃肠
贲门
外科手术
Hypertension
Portal
Hemorrhage
Gastrointestinal
Cardial opening
