门脉高压征门奇静脉断流术后胃破裂的防治
门脉高压征,,门脉高压征;门奇静脉断流术;脾切除术;胃破裂,1临床资料,2讨论,参考文献
【摘要】 目的:探讨门奇静脉断流术后胃破裂的原因和防治措施。 方法:回顾分析1995.1～2003.2月我院65例门脉高压征行门奇静脉断流术+脾切除术后胃破裂的患者。 结果:65例患者中2例患者术后发生胃底破裂，1例经二次开腹修补破裂口痊愈，后因肝功能衰竭死亡，另一例二次术后痊愈出院，随访至今无严重并发症出现。结论:门奇静脉断流术+脾切除术中离断脾胃韧带时尽量靠脾侧切断韧带，近胃侧断端贯穿缝扎并包埋于浆膜腔内，术后持续胃肠减压，同时给予止酸保护胃粘膜药物治疗，可有效防止该并发症的发生。【关键词】 门脉高压征;门奇静脉断流术;脾切除术;胃破裂
Prevention of Portal Hypertension Gastrobrosis after Devascularization
QU Ming, XUE Jun, YANG Dongdong, et al.
The First Affiliated Hospital, Hebei North University, Zhangjiakou 075000 ,China
【ABSTRACT】 Objective:To explore and analyse the reason and preveative measure of portal hypertension gastrobrosis after devascularization. Methods: Retrospective clinical study has been made on 2 out of 65 cases with gastrobrosis after devascularization from Jan 1995 to Feb 2003. Results: Gastrobrosising rate was 3%(2 of 65), reoperation was required for both of them. 1 out of 2 cases died of lever failure and the other one was cured. Conclusion: the treatment of portal hypertensive gastropathy is significant to prevent gastrobrosis after devascularization. ......
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