摘要
目的总结门静脉高压症并发上消化道出血的临床治疗经验。方法回顾性分析我院2005年1月至2011年12月118例门静脉高压症并发上消化道出血患者行急诊或择期脾切除加门奇断流术的临床资料。结果本组118例术后上消化道出血均停止。急诊、择期手术组的并发症、术后再出血率两组间差异无统计学意义。术后2个月内死亡3例，随访5年死亡8例。结论脾切除加门奇断流术治疗门静脉高压症食管胃底静脉曲张破裂大出血是安全有效的治疗方法，止血效果确切，手术时机的把握和围术期处理是急诊手术成功的关键。
Objective To summarize the experience of clinical treatment on upper gastrointestinal （GI） bleeding with portal hypertension. Methods The clinical data of 118 cases of upper GI bleeding with portal hypertension undergoing spleen resection with porta-azygous devascularization from January 2005 to December 2011 in our hospital were retrospectively reviewed. Results All of the 118 patients ceased GI bleeding after the operation. There was no statistical difference on the rate of emergency surgical complications or postoperative bleeding. Three cases of death occurred in two months and 8 cases occurred in the follow-up 5 years. Conclusion Spleen resection with porta-azygous devascularization is a safe and effective treatment on the massive variceal bleeding due to portal hypertension. Proper hemostasis, appro- priate timing of surgery and careful perioperative treatment are the key points to the success of emergency surgery.
出处
《临床外科杂志》
2012年第10期705-706,共2页
Journal of Clinical Surgery
关键词
门静脉高压症
上消化道出血
门奇断流术
治疗
portal hypertension
upper gastrointestinal bleeding
portal-azygous disconnec- tion
treatment
