论文部分内容阅读
門脉高压症合併食管靜脉曲张破裂大出血是外科危重病之一,大量出血严重威胁病人生命需要采取紧急措施。止血方法有多种:如用药物降低門脉压力、气囊压迫食管下段曲张的靜脉和手术治疗等。疗法虽多,但效果尚不能令人滿意。手术治疗中以門体靜脉分流术效果較好,能直接降低門靜脉压力。近年来国內外均有主张用急診分流术治疗门脉高压症大出血者,但据国內外报导急診分流术的死亡率仍在20%～50%左右。我們由1956～1963年的八年中共施行过72次門体靜脉分流手术,其
Portal hypertension with esophageal variceal bleeding is one of the critical surgical diseases, a large number of bleeding threat to the lives of patients need to take urgent measures. There are many ways to stop bleeding: such as drugs to reduce portal pressure, balloon oppression lower esophageal varicose vein and surgical treatment. Although the treatment is more, but the effect is not yet satisfactory. Surgical treatment of portal vein shunt is better, can directly reduce the pressure on the portal vein. In recent years, both at home and abroad have advocated the use of emergency shunt for the treatment of bleeding in patients with portal hypertension, but according to reports of emergency shunt at home and abroad the mortality rate is still about 20% to 50%. We performed 72 portosystemic shunts over the eight years from 1956 to 1963,