【摘要】 目的探讨门静脉高压贲门周围血管离断加脾切除术后胃破裂的原因、处理方法及预防措施。方法回顾性分析我院自1995年5月～2005年5月行门静脉高压贲门周围血管离断加脾切除术后胃破裂18例的临床资料。结果本组18例中,经再次手术后痊愈15例,因手术后并发感染性休克、多器官功能衰竭死亡3例。结论术中规范、轻柔操作,术后早期发现、正确处理,对预防贲门周围血管离断加脾切除术后胃破裂的发生十分重要。更多还原

【Abstract】 Objective To study the cause,treatment and prevention of gastric rupture after pericardial devascularization plus splenectomy in the treatment of portal hypertension.Methods The clinical data of 18 cases of gastric rapture after pericardial devascularization plus splenectomy for portal hypertension from May 1995 to May 2005 were retrospectively reviewed.Results Among 18 cases of gastric rupture,15 were cured after reoperation,and 3 died after reoperation due to infectious shock and multiple organ failure.Conclusion Canonical and gentle manipulation during operation,early diagnosis after operation and correct management are very important to prevent gastric rupture after pericardial devascularization plus splenectomy.更多还原