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我们自1994年4月开展经颈静脉肝内门体静脉分流(TIPSS)治疗肝硬化5例,病例由内科选择推荐.经颈静脉放置导管引导支撑管(Palmaz 管),经肝静脉与门静脉之间架桥的全过程由介入放射学科医师进行.术中超声探查支撑管,并监测其合适位置由B超室协助.术中及术后由消化内科协助观察病人,并具体执行术前后的内科治疗,及追踪病人.本文仅就内科参予过程,总结初步体会.
We performed 5 patients with cirrhosis via transjugular intrahepatic portosystemic shunt (TIPSS) in April 1994. The cases were recommended by medical department. The catheter was placed via the jugular vein (Palmaz tube), and the hepatic vein and portal vein The whole process of inter-bridge is carried out by the interventional radiologist. The intraoperative ultrasound is used to probe the support tube and monitor its proper position assisted by B-cell. Medical treatment, and follow-up of patients.This article only on the medical participation process, concluded the initial experience.