【摘要】 目的探讨联合断流术治疗门静脉高压症急性上消化道大出血的作用。方法对我院1995年3月~2002年10月间施行贲门周围血管离断术联合食管下段胃底切除术治疗门静脉高压症急性上消化道大出血的10例进行回顾性分析。结果本组10例术后上消化道出血均停止。痊愈9例,随访5个月~5年,均无再出血,无腹水,肝功能正常或好转。另1例高龄、ChildC级病人术后1周因多脏器功能衰竭而死亡。结论对于部分门静脉高压症急性上消化道大出血者急诊行贲门周围血管离断术联合食管下段胃底切除术是有效的治疗方法之一,能防止术后再出血。更多还原

【Abstract】 ObjectiveTo evaluate the effectiveness of transabdominal gastric fundsectomy plus pericardial devascularization for treating portal hypertension with acute massive hemorrhage due to esophageal varicose vein and varices of fundus of stomach.MethodsTen cases of portal hypertensive with acute massive upper digestive tract hemorrhage were treated with transabdominal gastric fundsectomy plus pericardial devascularization from March 1995 to Oct.2002.ResultsUpper digestive tract bleeding was controlled by pericardial devascularization in all patients.Nine patients were cured.During the follow-up period of 5 months to 5 years,no patients had recurrent bleeding and ascites,and their hepatic function was improved or became normal.Onesenile patient with Child C stage was died one week after operation because of MSOF.ConclusionTransabdominal gastric fundsectomy plus pericardial devascularization is one of the effective treatments in emergency for some patients with acute massive upper digestive tract hemorrhage because of portal hypertension.Moreover,this treatment can prevent recurrent bleeding after operation.更多还原