论文部分内容阅读
具有临床意义的胃静脉曲张不常见,它可分为四种类型:(1)合并有食道静脉曲张,(2)食道静脉曲张栓塞后的胃静脉曲张发生或存留,(3)合并有脾静脉梗阻,(4)孤立的胃静脉曲张.一般认为食道胃静脉曲张的最常见原因是继发于肝硬变的门脉高压.但原发于胃静脉曲张出血少见.Watanabe等报告203例门脉高压,其中胃静脉曲张出血的发生率为3.5%.这种胃静脉曲张通常伴有脾静脉梗阻,其次常继发胰腺疾病.作者回顾治疗9例胃静脉曲张出血的经验.病人与方法1979年～1988年在Glasgow皇家医院外科收治的235例食道胃静脉曲张的病人中,9例(3.8%)通过内窥镜或手术证实为胃静脉曲张出血.其中女性5例,男性4例.平均年龄57岁.全部病例作活组织检查证实有肝硬变.
Gastric varices with clinical significance are uncommon and can be classified into four types: (1) with or without esophageal varices; (2) the occurrence or persistence of gastric varices after esophageal varices embolization; (3) the combination of splenic vein Obstruction, (4) isolated gastric varices .General that the most common cause of esophageal varices is secondary to cirrhosis of the portal hypertension, but primary bleeding in the gastric varices rare.Watanabe other reported 203 cases of portal vein High pressure, in which the incidence of gastric variceal bleeding was 3.5% .The gastric varices are usually associated with splenic vein obstruction, followed by the common secondary pancreatic disease.The author reviews the experience of treatment of 9 cases of gastric variceal bleeding patients and methods in 1979 Of the 235 esophageal and gastric varices admitted to the Royal Hospital of Glasgow in 1988, 9 (3.8%) had endoscopic or surgical evidence of gastric variceal bleeding, including 5 in women and 4 in men. The mean age 57 years old.All cases of biopsy confirmed liver cirrhosis.