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门静脉高压症食管下段胃底曲张静脉破裂大出血的急诊断流术
引用本文:王玉杰,史炼钢,孙晓义.门静脉高压症食管下段胃底曲张静脉破裂大出血的急诊断流术[J].腹部外科,2003,16(2):100-100.
作者姓名:王玉杰  史炼钢  孙晓义
作者单位:116033,辽宁省大连市中心医院普外科
摘    要:目的 探讨胃底贲门周围血管离断术治疗门静脉高压症上消化道大出血的体会。方法 对 64例因门静脉高压症食管下段胃底曲张静脉破裂出血而实行急诊断流术的患者的临床资料进行回顾性分析。结果 手术止血率 10 0 % ,术后死亡 5例。随诊 6月~ 10年 ,再出血患者 5例。结论 胃底贲门周围血管离断术是治疗门静脉高压症上消化道大出血的首选术式

关 键 词:高血压  门静脉  食管和胃静脉曲张  出血  止血  手术
修稿时间:2002年10月15

Emergency porta-azygous devascularization for portal hypertension with gastroesophageai varices bleeding
WANG Yu jie,SHI Lian gang,SUN Xiao yi.Emergency porta-azygous devascularization for portal hypertension with gastroesophageai varices bleeding[J].Journal of Abdominal Surgery,2003,16(2):100-100.
Authors:WANG Yu jie  SHI Lian gang  SUN Xiao yi
Institution:WANG Yu jie,SHI Lian gang,SUN Xiao yi.Department of General Surgery,Dalian Central Hospital,Dalian,116033,China
Abstract:Objective To study the clinical value of emergency porta azygous devascularization for portal hypertesion with gastroesophageal varices bleeding.Methods A retrospective study was performed on 64 cases of gastroesophageal varices bleeding undergoing emergency porta-azygous devascularization.Results There was no rebleeding at the early stage of postoperation and 5 cases died postoperatively. All patients were followed up for 6 months to 10 years. There were 5 cases of rebleeding.Conclusion Fundal pericardial devascularization is the first choice treating portal hypertension induced gastroesophageal varices bleeding.
Keywords:Hypertension  portal  Esophageal and gastric varices  Hemorrhage  Hemostasis  surgical
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