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门静脉高压脾切除后食管胃底曲张静脉大出血经左胸行离断术11例报告

Cardiac pericardial devascularization trans-left-chest in treatment of recurrent massive haemorrhage after splenectomy: A report of 11 cases
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摘要 目的探讨血吸虫病性肝硬化行脾切除术后再发大出血的外科治疗方法。方法回顾分析1987年4月~1999年2月收治的经左胸行贲门周围血管离断术治疗脾切除术后再发大出血11例病人的临床资料。结果急诊手术4例,择期手术7例。急诊手术中2例死亡,其中1例手术后30天死于肝功能衰竭,另1例于出院后2个月再发大出血而死亡。余9例随访6~8年,无出血再发。结论对脾切除术后再发大出血病例经左胸入路行离断术是一种可行的治疗方法。 Objective To investigate the feasible surgical therapy for recurrent massive haemorrhage after splenectomy in patients with schistosomiasis cirrhosis of liver. Methods The clinical data of 11 patients (admitted from April 1987 to February 1999) with recurrent massive haemorrhage after splenectomy undergoing cardiac pericardial devascularization trans-left-chest were retrospectively analyzed. Results Two patients died after emergency surgery: one died of liver failure 30 days after operation and the other recurrent massive haemorrhage 2 months after discharge of hospital. Two patients with emergency surgery and 7 patients with selected thoracic surgery recovered without post-operative complications and re-bleeding after 6-8 years' follow-up. Conclusion Cardiac pericardial devascularization trans-left-chest is a feasible surgical therapy for recurrent massive haemorrhage after splenectomy.
作者 钱呈兴
出处 《腹部外科》 2006年第3期146-147,共2页 Journal of Abdominal Surgery
关键词 高血压 门静脉 脾切除术 出血 外科手术 Hypertension, portal Splenectomy Bleeding Surgical procedures, operative
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