| 脾切除、半胃及食管下端外周血管离断术治疗门静脉高压症 |
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| 引用本文： | 鲁恩赐,吕新生,徐焕然,陈中民,蔡润芝,蔡德友,方明武. 脾切除、半胃及食管下端外周血管离断术治疗门静脉高压症[J]. 中南大学学报(医学版), 1983, 0(4) |
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| 作者姓名： | 鲁恩赐 吕新生 徐焕然 陈中民 蔡润芝 蔡德友 方明武 |
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| 作者单位： | 湖南医学院第一附属医院外科(鲁恩赐，吕新生)，湖南省血防外科协作组(徐焕然，陈中民，蔡润芝，蔡德友)，湖南省血防外科协作组(方明武) |
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| 摘 要： | 本文报告脾切除、半胃及食管下端外周血管离断术治疗肝硬变、门静脉高压症238例,其中急诊手术72例,术后70例出血停止,择期手术166例。176例随访1至13.5年,随访生存率87.5%再出血率5.7%,术后无一例脑病,肝功能显示好转者占44%,39例有腹水病例中术后37例腹水消失。
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| 关 键 词： | 门静脉高压症 肝硬化 脾切除术 半胃及食管周围静脉离断术 |
SPLENECTOMY AND GASTROESOPHAGEAL DEVASCULARIZATION IN THE TREATMENT OF PORTAL HYPERTENSION |
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| Lu Enci,Lu Xinsheng. SPLENECTOMY AND GASTROESOPHAGEAL DEVASCULARIZATION IN THE TREATMENT OF PORTAL HYPERTENSION[J]. Journal of Central South University. Medical sciences, 1983, 0(4) |
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| Authors: | Lu Enci Lu Xinsheng |
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| Affiliation: | Lu Enci,Lu Xinsheng Department of Surgery,The First Affiliated Hospital,Hunan Medical CollegeXu Huanran,Cai Runzhi Hunan Surgical Cooperative Group for Schistosomiasis Control |
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| Abstract: | From September 1968 to March 1982,238 cases of portal hypertension sufferedfrom cirrhosis of the liver were treated by splenectomy and gastroesophageal deva-scularization(Hassab's operation).69.7% of the cases were due to schistosomiasisand 26.4% of the cases were due to portal cirrhosis;41.2% belonged to Class Caccording to Child's classification.Emergency operations were done on 72 casesand resulted in immediate arrest of bleeding in 70 cases.176 cases were followedup for 1-13.5 years.Overall survival rate was 87.5%,recurrent bleeding ratewas 5.7%,and none had postoperative encephalopathy.Esophageal varices werefound by barium meal examination in 61 cases preoperatively and these disappearedor improved in 53 cases postoperatively.Liver function tests showed impro-vement in 44.2% of the cases.Ascites was present in 39 cases preoperatively orat the time of operation and disappeared afterwards in 37 cases.Among 154 survi-vals,the working capability was restored or even strengthened in 134 cases.Theadvantages of this operation are discussed. |
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| Keywords: | portal hypertension liver cirrhosis gastroesophageal devascularization splenectomy |
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