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急诊门奇断流术30例临床分析
引用本文:张德守,东玺新,聂玉洁. 急诊门奇断流术30例临床分析[J]. 肝胆外科杂志, 2002, 10(3): 194-196
作者姓名:张德守  东玺新  聂玉洁
作者单位:河南省周口地区第二人民医院外科,周口,466000;河南省周口地区第二人民医院外科,周口,466000;河南省周口地区第二人民医院外科,周口,466000
摘    要:目的 探讨门脉高压症并发上消化道大出血的抢救措施。方法 回顾分析30例患者的围手术期资料。结果 止血率100%,无死亡率,5年生存率81%。结论 急诊门奇断流术可抢救部分上消化道大出血患者的生命,合理选择相关手术适应症,掌握手术时机,确切断流,注重围手术期处理是取得良好效果的关键。

关 键 词:门脉高压症  大出血  手术/急诊
文章编号:1006-4761(2002)03-0194-03
修稿时间:2001-08-11

CLINICAL ANALYSIS OF 30 CASES TREATED WITH EMERGENT DISCONNECTION OF PORTAL-SYSTEMIC VENOUS SHUNT
Zhang Deshou,Dong xixin,Nie yujie,The Second People's Hospital of Zhoukou,Henan Zhoukou. CLINICAL ANALYSIS OF 30 CASES TREATED WITH EMERGENT DISCONNECTION OF PORTAL-SYSTEMIC VENOUS SHUNT[J]. Journal of Hepatobiliary Surgery, 2002, 10(3): 194-196
Authors:Zhang Deshou  Dong xixin  Nie yujie  The Second People's Hospital of Zhoukou  Henan Zhoukou
Affiliation:Zhang Deshou,Dong xixin,Nie yujie,The Second People's Hospital of Zhoukou,Henan Zhoukou 466000
Abstract:Objectievs To sicuss the treatment of portal vein hypertension complicated upper gastrointeseinl hemorrhage Methods The peri-operation period information of 30 cases was retrospectively analyzed.Results Prevent bleeding rate was 100%,the surgical mortality was 0%,the 5 year survival rate was 81%.Conclusion The emergent disconnection of portal-systemic venous shunt can save parts of patients' lives with upper gastrointestinal hemerrhage.There was a great need for rational election pf operative indications and chances.Absolutely disconnection and treatment during peri-operation period should be retuired emphatically.
Keywords:Portal Vein  Hypertension  Bleeding Operation/Emergent
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