对肝硬化门静脉高压症所致的食管静脉曲张破裂出血,目前分流手术仍然是重要的治疗方法之一.特别是门腔分流(下称PCS),能有效地、大幅度地降低门静脉压力,止血效果确切,术后再出血复发率低.但由于术后门脉血灌注的缺如或锐减,对肝脏灌注压影响很大,使肝细胞营养受到影响,肝脏本身病变可进一步发展,术后肝功能衰竭与肝性脑病发生率高.分流手术死亡的病例,其肝组织结构均有明显的 Current cirrhosis portal hypertension caused by esophageal variceal bleeding, the current shunt surgery is still one of the important treatment methods, especially the portal shunt (PCS), can effectively and significantly reduce the portal pressure, bleeding The exact effect of postoperative recurrence rate of hemorrhage low.But due to the lack of or postoperative portal perfusion, the impact on liver perfusion pressure greatly affect the nutrition of liver cells, the liver itself lesions can be further developed after surgery The incidence of liver failure and hepatic encephalopathy is high. In the cases of death from shunt surgery, the liver tissues were significantly