胃冠狀靜脈栓塞術(shù)即手術(shù)時(shí)在直視下向胃冠狀靜脈內(nèi)注入TH膠,以替代賁門(mén)周?chē)艿慕Y(jié)扎和離斷。TH膠的化學(xué)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(shù)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(shù)(esophagealtransectionwithparaesophagogastricdevascularization,Sugiura’soperation)1967年Sugiura首先報(bào)道,故簡(jiǎn)稱Sugiura手術(shù)。手術(shù)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?chē)姆闯Ｑ?只有行經(jīng)胸?cái)嗔鞑拍塬@得滿意的療效。根...[繼續(xù)閱讀]

    國(guó)內(nèi)外有些作者提倡斷流加分流術(shù),即在同一術(shù)野中同時(shí)作斷流術(shù)和分流術(shù)。斷流術(shù)采取賁門(mén)周?chē)茈x斷術(shù),分流術(shù)采用腸-腔靜脈側(cè)-側(cè)分流術(shù),腸-腔橋式分流術(shù)或脾-腎分流術(shù)。因賁門(mén)周?chē)茈x斷術(shù)后門(mén)脈壓仍較高,術(shù)后仍可能重新...[繼續(xù)閱讀]

    1黃耀權(quán),鐘友芳.門(mén)靜脈高壓癥各種手術(shù)治療遠(yuǎn)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(mén)靜脈高壓癥食管胃底曲張靜脈破裂出血而行各種手術(shù)治療,術(shù)后又發(fā)生與門(mén)靜脈高壓癥相關(guān)的嘔血和黑便均可定義為再出血。二、再出血的預(yù)測(cè)(predictabilityofvaricealhemorrhage)與診斷食管、胃十...[繼續(xù)閱讀]

    門(mén)靜脈高壓癥術(shù)后繼發(fā)性腹腔內(nèi)大出血是一嚴(yán)重并發(fā)癥,若出血量大,又未及時(shí)發(fā)現(xiàn)和處理,可危及生命。一、手術(shù)后內(nèi)出血的原因1.手術(shù)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(duì)顯露手術(shù)野和分離脾臟周?chē)g帶甚...[繼續(xù)閱讀]

    1.脾切除術(shù)后暴發(fā)性感染(overwhelingpostsplenectomyinfection,OPSI)。2.左膈下積血、積液和繼發(fā)膿腫術(shù)后病人有長(zhǎng)時(shí)間發(fā)熱,多為弛張熱,可高達(dá)39℃以上,白細(xì)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(jiàn)左膈肌與胃底之間距離增寬,左膈...[繼續(xù)閱讀]