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脾切除加门奇断流术治疗肝硬化上消化道出血疗效分析
引用本文:张佩君,孙志民,刘志远,周民.脾切除加门奇断流术治疗肝硬化上消化道出血疗效分析[J].安徽卫生职业技术学院学报,2011,10(4):32-33.
作者姓名:张佩君  孙志民  刘志远  周民
作者单位:1. 毫州市人民医院 安徽236800
2. 淮南市东方医院集团新庄孜医院 安徽 232072
摘    要:目的:分析脾切除加门奇断流术对肝硬化合并门脉高压及上消化道出血的疗效。方法:对22例肝硬化门脉高压致急性上消化道出血行脾切除加门奇断流术进行回顾性分析。结果:22例术后上消化道出血均停止。随访2个月~4年,无再出血,肝功能正常或好转,无肝性脑病发生,无死亡。结论:脾切除加门奇断流术是治疗门脉高压症的有效术式。

关 键 词:肝硬化  门静脉高压症  门奇断流术  脾切除术

The analysis of the efficiency of portal-azygous disconnection with splenectomy for treating hepatocirrhosis with portal hypertension and upper gastrointestinal bleeding
ZHANG Pei-jun,SUN Zhi-min,LIU Zhi-yuan,ZHOU Min.The analysis of the efficiency of portal-azygous disconnection with splenectomy for treating hepatocirrhosis with portal hypertension and upper gastrointestinal bleeding[J].Journal of Anhui Heaith Vocational & Technical College,2011,10(4):32-33.
Authors:ZHANG Pei-jun  SUN Zhi-min  LIU Zhi-yuan  ZHOU Min
Institution:1.Department of hepatobillary Surgery,the People's Hospital of Bozhou City,Bozhou 236800,Anhui
Abstract:Objective:To analyze the efficiency of portal-azygous disconnection with splenectomy for treating hepatocirrhosis with portal hypertension and upper gastrointestinal bleeding.Methods:A retrospective analysis was made on the results of 22 patients with hepatocirrhosis with portal hypertension and acute massive upper gas-trointestinal hemorrhage who were treated with portal-azygous disconnection with splenectomy in our Hospita1.Results: The group of 22 cases of upper gastrointestinal bleeding is stopped.Followed up for 2 months to 4 years,no further bleeding,liver function was normal or improved without hepatic encephalopathy and no death.Conclu-sion: The portal-azygous disconnection with splenectomy is an effective operational way for portal hypertension.
Keywords:Postpartum hemorrhage  Embolization  Uterine  Angiography
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