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门脉高压伴发食管静脉曲张出血有较高死亡率,特别是酒精性肝硬化伴有肝功能差所致者,死亡率高达67～75％。应用外科分流术治疗本病已有300年的历史,迄今仍有较高并发症,生存时间也不太长;手术死亡率,Child A级病例为10～20％,Child C级病例为50％;术后生存5年者只有20％。为减低本病死亡率,除进一步改进外科手术方法外,非手术治疗方面也应努力寻找可靠的方法,特别是肝能功差、年龄大,或因其它原因不能手术治疗者,非手术治疗更为需要。本文就近年来非手术治疗的方法作一介绍。
Portal hypertension with high mortality of esophageal varices, especially alcoholic cirrhosis with poor liver function, the mortality rate as high as 67 to 75%. Surgical shunt has been used for the treatment of this disease for 300 years, so far there are still high complications and the survival time is not too long. Surgical mortality rate is 10-20% in Child A grade and 50% in Child C grade ; Postoperative survival of only 5 years were 20%. In order to reduce the mortality of this disease, in addition to further improving the surgical methods, non-surgical treatment should also strive to find reliable methods, in particular, poor liver function, age, or for other reasons can not be treated, non-surgical treatment more As needed. This article on non-surgical treatment in recent years to make an introduction.