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本文研究生长抑素对肝硬化及严重门脉高压者的内脏及全身血管血液动力学变化,并与某些应用加压素的病例作比较。方法:17例病人中,男10例,女7例,诊断均经活检证实,内仅1例为特发性门脉高压症,活检有肝、门静脉硬化外,余为不同病因所致肝硬化。这些患者均因食管静脉曲张破裂出血住院,在选择性门腔-分流手术前作血液动力学测定。以French 7号气囊导管在萤光透视指引下,插入右肝静脉主干测量肝静脉嵌入压(简称WHVP)。另以Swan-Ganz导管插入肺动脉,测心排出量及心肺压。然后持续静脉滴注靛氰绿,等待40分钟染料和匀后,在肝静脉及动脉同时抽取三个血标本,测肝血流量(简称EHBF)。记录心排出量、体动
This article studies the somatostatin on liver cirrhosis and severe portal hypertension in the visceral and systemic vascular hemodynamic changes, and with some cases of vasopressin for comparison. Methods: Among the 17 patients, 10 were male and 7 were female. The diagnosis was confirmed by biopsy. Only 1 case had idiopathic portal hypertension. Biopsy had liver and portal vein cirrhosis. . All of these patients were hospitalized for esophageal variceal bleeding and were hemodynamically measured before selective gavage-shunt surgery. With French 7 balloon catheter under the guidance of fluoroscopy, insert the right hepatic vein trunk to measure hepatic vein occlusion pressure (referred to as WHVP). Another Swan-Ganz catheter into the pulmonary artery, measuring cardiac output and cardiopulmonary pressure. Then continuous intravenous infusion of indocyanine green, waiting for 40 minutes after the dye and uniform, in the hepatic vein and artery simultaneously extracted three blood specimens, measured liver blood flow (referred to as EHBF). Record cardiac output, body movement