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患者男.40岁。因诊断为肝硬化、门静脉高压症合并重度食道中、下段静脉曲张而入院。入院后经胃镜检查提示:食道中、下段静脉曲张,呈红相。肝功能检查提示肝功能为child分级B级。B超提示:1.肝硬化、萎缩;2.门静脉增宽;3.脾肿大。均未提示胃十二指肠溃疡及胃粘膜病变等。局麻下于数字减影血管造影机透视下行经颈静脉肝内门一体静脉分流术(Tips)。术中见肝右静脉短而细,选肝中静脉行门静脉穿刺。至门静脉右干,建立分流通道直径为1.0cm.长6.0cm。分流前门静脉压力为46.6kPa。造影示:冠状静脉曲张纡曲。分流后门静脉压力为32.8kPa。
Patient male .40 years old. Due to the diagnosis of cirrhosis, portal hypertension with severe esophageal, lower varicosity and admission. After admission by gastroscopy Tip: esophagus, lower varicose veins, red phase. Liver function tests suggest that liver function is child grade B. B-Tip: 1. Cirrhosis, atrophy; 2. Portal vein widening; 3. Splenomegaly. Gastroduodenal ulcer and gastric mucosal lesions were not prompted. Under local anesthesia in digital subtraction angiography machine through the jugular vein through the portal vein intravenous shunt (Tips). See the right and left hepatic vein surgery short and thin, select the middle hepatic vein portal vein puncture. To the right portal vein, the establishment of shunt channel diameter of 1.0cm. Length 6.0cm. Shunt portal vein pressure was 46.6kPa. Angiography shows: Coronal varicose veins song. Shunt portal vein pressure was 32.8kPa.