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临床上应用普萘洛尔(心得安)防止肝硬化患者胃肠道出血复发有很好疗效,但本品可减少心输出量和器官灌流量。肝硬化患者使用本品似乎存在由于肝动脉血流量下降引起肝功能恶化的危险。本文旨在比较本品对肝硬化患者心输出量及肝血流量的影响,并估价其对门腔静脉分流术后肝硬化患者肝动脉灌流量的影响。所选病例均为成年患者,曾因食管静脉曲张破裂
The clinical application of propranolol (propranolol) to prevent gastrointestinal bleeding in patients with cirrhosis has a good recurrence of bleeding, but this product can reduce cardiac output and organ perfusion. The use of this product in cirrhotic patients appears to present a risk of worsening of liver function due to a drop in hepatic arterial blood flow. The purpose of this article is to compare the effects of this product on cardiac output and hepatic blood flow in cirrhotic patients and evaluate its effect on hepatic arterial perfusion in patients with cirrhosis after portal venous bypass. Selected cases are adult patients, had rupture of esophageal varices