胃冠状静脉栓塞术即手术时在直视下向胃冠状静脉内注入TH胶,以替代贲门周围血管的结扎和离断。TH胶的化学成分为含显影剂的α-氰基丙烯酸正辛酯,遇液体后可迅速固化。该手术不仅可栓塞浆膜外的曲张血管,并可栓塞胃黏膜下的血...[继续阅读]

    联合断流术(esophagealtransectionwithparaesophagogastricdevascularization,Sugiura’soperation)1967年Sugiura首先报道,故简称Sugiura手术。手术步骤包括经胸和经腹两部分,并主张必须经胸离断食管周围的反常血流,只有行经胸断流才能获得满意的疗效。根...[继续阅读]

    国内外有些作者提倡断流加分流术,即在同一术野中同时作断流术和分流术。断流术采取贲门周围血管离断术,分流术采用肠-腔静脉侧-侧分流术,肠-腔桥式分流术或脾-肾分流术。因贲门周围血管离断术后门脉压仍较高,术后仍可能重新...[继续阅读]

    1黄耀权,钟友芳.门静脉高压症各种手术治疗远期结果的比较.中华外科杂志,1986,24:7222CrileGJr.Transesophagealligationofbleedingesophagealvarices:preliminaryreportofsevencases.ArchSurg,1950,61:6543CrileGJr.Treatmentofesophagealvaricesbytransesophagealobliteration,Surgery,1957,...[继续阅读]

    1LyassS,BerlatzkyY,AshurR,etal.Portosystemicshuntforpostorthotopiclivertransplantationportalhypertension.TransplantProc,2000,32(4):7082AboujaoudeM,GrantD,GhentC,etal.Effectofportosystemicshuntsonsubsequentlivertransplantation.SurgGynecolObstet,1991,172:21...[继续阅读]

    1CameronJL,HerlongHF,SanfeyH,etal.TheBudd-Chiarisyndrome:Treatmentbymesentericvenousshunt.AmSurg,1983,198(3):335～3462HuguetC,KeliereT,OllierJM,etal.Budd-Chiarisyndromewiththrombosisoftheinferiorvenacava:long-termpatencyofmeso-cavalandcavoatrialprostheticb...[继续阅读]

    1OrloffMJ,ChandlerJG,ChartersAL,etal.Comparisonofend-to-sideandside-to-sideportacavalshuntindogandhumanswithcirrhosisandportalhypertension.AmJSurg,1997,128:195～2012GreigPD,LangerB,BlendisLM,etal.Complicationsafterperitoneovenousshunting.AmJSurg,1980,139:1...[继续阅读]

    一、再出血(recurrentvaricealbleeding)的定义因门静脉高压症食管胃底曲张静脉破裂出血而行各种手术治疗,术后又发生与门静脉高压症相关的呕血和黑便均可定义为再出血。二、再出血的预测(predictabilityofvaricealhemorrhage)与诊断食管、胃十...[继续阅读]

    门静脉高压症术后继发性腹腔内大出血是一严重并发症,若出血量大,又未及时发现和处理,可危及生命。一、手术后内出血的原因1.手术剥离面广泛渗血。2.创面结扎线脱落放置胃管、抽空胃内容物对显露手术野和分离脾脏周围韧带甚...[继续阅读]

    1.脾切除术后暴发性感染(overwhelingpostsplenectomyinfection,OPSI)。2.左膈下积血、积液和继发脓肿术后病人有长时间发热,多为弛张热,可高达39℃以上,白细胞增高,左季肋区持续疼痛。X线透视下和B超检查,可见左膈肌与胃底之间距离增宽,左膈...[继续阅读]