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自1949年至1972年7月,某儿童医院共收治59例门脉高压并发食管静脉曲张患儿。肝外型47例,其中13例(28％)有新生儿脐炎史,3例(6％)有新生儿腹泻及发烧史,其余2/3病例无明显原因可查。肝外型组中均无脐静脉插管史。肝内型12例,其中10例继发于肝硬化,2例为肝脏纤维化。全组病例多在生后1年内出现症状,主要为肝脾肿大及腹水,以腹水为首发症状者11例(19％)。在2～6岁之前,消化道出血并非主要症状。外科处理:38例患儿作了60次手术,其中姑息性手术36次,根治性手术24次。
From 1949 to July 1972, a children’s hospital admitted a total of 59 patients with portal hypertension and esophageal varices. There were 47 cases of extrahepatic appearance, 13 cases (28%) had history of neonatal omphalitis, 3 cases (6%) had history of neonatal diarrhea and fever, and the other 2/3 cases had no obvious reason. There was no history of umbilical vein catheterization in the liver appearance group. Intrahepatic type in 12 cases, of which 10 cases of secondary to cirrhosis, liver fibrosis in 2 cases. All cases more than 1 year after birth symptoms, mainly hepatosplenomegaly and ascites, with ascites as the first symptom in 11 patients (19%). Before 2 to 6 years of age, gastrointestinal bleeding is not the main symptom. Surgical treatment: 38 cases of children made 60 operations, including palliative surgery 36 times, radical surgery 24 times.