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随机自我院及联合病区,1988年1月1日～1993年12月31日所治并存活3年以上704例患者中抽取223例,重点分析 HAE 治疗所致损伤。结果表明,肝脏损伤分为肝实质、肝血管、肝功能损伤。实质损伤表现为肝硬化加重加快(199/223、89.31%)血管损伤有完全闭塞及狭窄。常见侧支血管有肠系膜上动脉、胃左动脉、膈动脉、胃十二指肠动脉。肝动能损伤主要表现为治疗后期与首次治疗前相比门脉高压加重增多和肝功能不全出现(189/223、84.56%)。基于上述回顾性分析,作者陈述自己在实际工作中处置方法并探讨提高 HAE 近期疗效的手段及措施。
Random self-hospital and combined wards, 223 cases of 704 patients who survived from January 1, 1988 to December 31, 1993 and survived for more than 3 years, focused on the analysis of HAE-induced injuries. The results showed that the liver injury was divided into hepatic parenchyma, hepatic vessels, and liver function injury. Parenchymal injury manifested as accelerated cirrhosis (199/223, 89.31%) with complete occlusion and stenosis. Common collateral vessels include superior mesenteric artery, left gastric artery, radial artery, and gastroduodenal artery. Liver kinetic injury was mainly manifested in the increase of portal hypertension and hepatic insufficiency (189/223, 84.56%) in the later period of treatment compared with the first treatment. Based on the above-mentioned retrospective analysis, the author states that he will dispose of the method in actual work and explore the means and measures to improve the short-term efficacy of HAE.