摘要
目的:总结急诊手术治疗门脉高压症急性大出血的疗效。方法:回顾性分析1990年3月～2001年8月用改良简化青木春夫式断流术治疗门脉高压症急性大出血15例。结果:急诊手术止血率100％,无手术死亡,无肝性脑病发生。平均随访时间为5年,1、3、4年的生存期为100％、86.67％、73.33％,存活病人肝功能稳定。结论:改良简化青木春夫式断流术非常适用于门脉高压症急性大出血的急诊手术,止血效果可靠,尤适用于基层医院,是抢救垂危病人的最有效措施。而掌握手术指征、选择手术时机和提高手术者的熟练程度,是急诊手术成败的关键。
Objective: To conclude the effect of treatment of acute hematorrhea caused by portal hypertension in the emergency operation. Methods: To analysis retrospectivly 15 cases of acute hematorrhea caused by portal hypertension that were treated by modified simplifying QingmuChunfu lienectomy from march 1990 to august 2001. Results: The rate of hemostasis in the emergency operation was 100 per cent, no death in the emergency operation and no hepatic coma happened. The mean follow up was 5 years. The survival rate of 1, 3, 5 year was respectively 100 per cent, 86.67 per cent, 73.33 per cent, the hepatic function of the survivals were in stable situation. Conclusions: The modified simplifying QingmuChunfu lienectomy is very suit to acute hematorrhea caused by portal hypertension in the emergency operation, the effect of hemostasis is reliable, specially suit for the public health center, it is the most effective measures to rescue the patients in danger. The mastery of the operation sign, selecting the operation chance and improving the operators' proficiency are the key points in the emergency operation.
出处
《岭南急诊医学杂志》
2002年第2期103-104,共2页
Lingnan Journal of Emergency Medicine
