【摘要】 本文报告12例门脉高压患者接受脾切除和断流及环扎术后的疗效。这些患者可分为三类,第一类为急诊手术,第二类为选择性手术,第三类为予防性手术。术前除一例外,其余均有明显的食管静脉曲张。术后有1例原先的静脉曲张完全消失,其余患者均未加重。术后经过2～7年随访,再出血率为零。其效果不但与阻断了贲门周围血流有关系,而且与阻断了胃远端的反常血流亦有关系。此手术操作简便易行,不增加患者的损伤,也不污染腹腔,并弥补了断流术的不足。本文还讨讨了急性大出血的处理原则以及手术方式选择原则和病脾切除后患者免疫功能下降的问题。更多还原

【Abstract】 This study provides information on an effective treatment of massive hemorrhage from ruptured esophagal varices and the reductici of postoperative recurrence rate in recent surgery therapy. 12 portalyper-tension with cardia peripheral disconnection combined with coronaoliga-tion of fundus wall arc presented. Two patients underwent emrgency operations, ei^ht selective operations and the other two preventiv operations. All except one had marked varices of esophagal before operation. After operation initial varices disapeared completely in oe case and the rest had no aggravation. ]n the follow-up of 2-7 yers rc-bleeding rate was zero. Such a ,good result may be referable .ot only to cardia peripheral devascular ization, but to disconnection of dital abnormal blood infusion of gastric wall. This procedure, simple aid easy, doesn’t take the risk of injury and contamination of abdominl cavity during operation, and it can ameliorate the cardia peripheral disconnection and lower the rebleeding rate.The management of acute massive hemorrhage from rupture esophagal variceg and the immune function after splenectomy are also dscussed.更多还原