胃冠狀靜脈栓塞術即手術時在直視下向胃冠狀靜脈內(nèi)注入TH膠,以替代賁門周圍血管的結(jié)扎和離斷。TH膠的化學成分為含顯影劑的α-氰基丙烯酸正辛酯,遇液體后可迅速固化。該手術不僅可栓塞漿膜外的曲張血管,并可栓塞胃黏膜下的血...[繼續(xù)閱讀]

    聯(lián)合斷流術(esophagealtransectionwithparaesophagogastricdevascularization,Sugiura’soperation)1967年Sugiura首先報道,故簡稱Sugiura手術。手術步驟包括經(jīng)胸和經(jīng)腹兩部分,并主張必須經(jīng)胸離斷食管周圍的反常血流,只有行經(jīng)胸斷流才能獲得滿意的療效。根...[繼續(xù)閱讀]

    國內(nèi)外有些作者提倡斷流加分流術,即在同一術野中同時作斷流術和分流術。斷流術采取賁門周圍血管離斷術,分流術采用腸-腔靜脈側(cè)-側(cè)分流術,腸-腔橋式分流術或脾-腎分流術。因賁門周圍血管離斷術后門脈壓仍較高,術后仍可能重新...[繼續(xù)閱讀]

    1黃耀權(quán),鐘友芳.門靜脈高壓癥各種手術治療遠期結(jié)果的比較.中華外科雜志,1986,24:7222CrileGJr.Transesophagealligationofbleedingesophagealvarices:preliminaryreportofsevencases.ArchSurg,1950,61:6543CrileGJr.Treatmentofesophagealvaricesbytransesophagealobliteration,Surgery,1957,...[繼續(xù)閱讀]

    1LyassS,BerlatzkyY,AshurR,etal.Portosystemicshuntforpostorthotopiclivertransplantationportalhypertension.TransplantProc,2000,32(4):7082AboujaoudeM,GrantD,GhentC,etal.Effectofportosystemicshuntsonsubsequentlivertransplantation.SurgGynecolObstet,1991,172:21...[繼續(xù)閱讀]

    1CameronJL,HerlongHF,SanfeyH,etal.TheBudd-Chiarisyndrome:Treatmentbymesentericvenousshunt.AmSurg,1983,198(3):335～3462HuguetC,KeliereT,OllierJM,etal.Budd-Chiarisyndromewiththrombosisoftheinferiorvenacava:long-termpatencyofmeso-cavalandcavoatrialprostheticb...[繼續(xù)閱讀]

    1OrloffMJ,ChandlerJG,ChartersAL,etal.Comparisonofend-to-sideandside-to-sideportacavalshuntindogandhumanswithcirrhosisandportalhypertension.AmJSurg,1997,128:195～2012GreigPD,LangerB,BlendisLM,etal.Complicationsafterperitoneovenousshunting.AmJSurg,1980,139:1...[繼續(xù)閱讀]

    一、再出血(recurrentvaricealbleeding)的定義因門靜脈高壓癥食管胃底曲張靜脈破裂出血而行各種手術治療,術后又發(fā)生與門靜脈高壓癥相關的嘔血和黑便均可定義為再出血。二、再出血的預測(predictabilityofvaricealhemorrhage)與診斷食管、胃十...[繼續(xù)閱讀]

    門靜脈高壓癥術后繼發(fā)性腹腔內(nèi)大出血是一嚴重并發(fā)癥,若出血量大,又未及時發(fā)現(xiàn)和處理,可危及生命。一、手術后內(nèi)出血的原因1.手術剝離面廣泛滲血。2.創(chuàng)面結(jié)扎線脫落放置胃管、抽空胃內(nèi)容物對顯露手術野和分離脾臟周圍韌帶甚...[繼續(xù)閱讀]

    1.脾切除術后暴發(fā)性感染(overwhelingpostsplenectomyinfection,OPSI)。2.左膈下積血、積液和繼發(fā)膿腫術后病人有長時間發(fā)熱,多為弛張熱,可高達39℃以上,白細胞增高,左季肋區(qū)持續(xù)疼痛。X線透視下和B超檢查,可見左膈肌與胃底之間距離增寬,左膈...[繼續(xù)閱讀]