摘要
本文报告100例门静脉高压症行贲门周围血管离断术后并发症。本组病例中,术后住院期间出现腹水、腹腔感染、复发出血、胃穿孔、肝衰或多器官衰竭等并发症共41例(41.0％);其中9例死于腹腔脓毒症、大出血以及继发性肝衰和多器官衰竭,手术死亡率为9.0％。与手术并发症和手术死亡有关的主要因素是:术前肝功能状态、急症手术、手术及围手术期处理问题。
Vascular disconnection around the gastroesophageal junction in 100 patients with portal hypertension and gastroesophageal varices resulted in such complications as ascites,peritoneal infection,recurrent gastrointestinal bleeding,gastric perforation,ischemic gastric necrosis,hepatic failure,multiple organ failure,etc in 41 patients (with a operative morbility of 41%).9 cases out of the 41 died because of peritoneal sepsis,massive bleeding and hepatic or multiple organ failure.Multiple organ failure was the most common cause of death.Grade III liver function and improper perioperative management were the associated factors responsible for the operative complications and death in these patients.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
1991年第4期339-341,共3页
Journal of Third Military Medical University
关键词
门脉高压
血管离断术
并妆症
vascular disconnection
hypertension, portal/CO
complication
