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当内科治疗不能控制食管静脉曲张出血,需要急诊手术时,选择适宜于门体分流术的患者较为困难,加之急诊门体分流术伴有较高的死亡率,因此急诊中常选用非分流性手术.作者用门奇断流、食管胃血流阻断并应用Boerema吻合钮和EEA吻合器行食管横断术治疗食管静脉曲张出血.1973～1983年,作者不加选择治疗64例食管静脉曲张出血患者.食管静脉曲张情况由术前或术后内窥镜和/或钡透证实.对标准药物治疗、气囊填塞和全身性应用垂体后叶素无效的患者,经腹结扎胃左和胃右静脉、胃短静脉和胃左动脉,将食管胃连接处血运阻断,并用Boerema吻合钮(1973～1980年)、EEA吻合器(1980年至今)行食管横断术.32例(50%)由于肝硬化伴血液学改变而同时切脾.肝功能属Child A级24例、B级35例、C级5例.全部病例分为三组.第一组
When medical treatment fails to control esophageal variceal bleeding and requires emergency surgery, it is more difficult to select patients suitable for portosystemic shunts. In addition, emergency portosystemic shunts are associated with high mortality. Therefore, non-segmental surgery is often used in emergency treatment. The authors used portal vein occlusion, esophageal and gastric blood flow blockade, and used the Boerema anastomosis and EEA stapler for esophageal transection to treat esophageal variceal bleeding. From 1973 to 1983, the authors did not choose to treat 64 patients with esophageal variceal bleeding. Esophageal varices were confirmed by preoperative or postoperative endoscopic and/or fistulosal. For patients treated with standard drug therapy, balloon occlusion, and systemic application of pituitrin, the left and right stomach veins and stomach were ligated via the abdomen. The short vein and the left gastric artery blocked the blood supply at the esophageal-gastric junction and used the Boerema anastomosis (1973-1980) and the EEA stapler (1980-present) for esophageal transection. 32 cases (50%) were due to cirrhosis. With hematological changes and spleen at the same time. Liver function is Child A grade 24 cases, B grade 35 cases, C grade 5 cases. All cases are divided into three groups. The first group