| 门脉高压症门奇静脉断流术失败原因及防治措施 |
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| 引用本文： | 屈明,薛军,杨东东.门脉高压症门奇静脉断流术失败原因及防治措施[J].河北北方学院学报(医学版),2005,22(2):44-45. |
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| 作者姓名： | 屈明 薛军 杨东东 |
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| 作者单位： | 河北北方学院附属第一医院普外科,河北,张家口,075000 |
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| 摘 要： | 目的:探讨门脉高压症门奇静脉断流失败的原因及防治措施.方法:回顾分析1995.1～2003.2月65例肝硬化门脉高压症患者,行门奇静脉断流术后,5例发生消化道再出血.结果:65例患者再出血发生率7.7%(5/65).1例胃底静脉曲张破裂出血;2例胃黏膜广泛充血、糜烂、渗血;2例出血与胃及食道无关.结论:术中规范操作,术后综合治疗可有效防止术后再出血.
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| 关 键 词： | 门脉高压症 门奇断流术 再出血 |
| 文章编号： | 1673-1484(2005)02-0044-02 |
Analysis the Reason and Treatment of Measure of Portal Hypertension Rebleeding after Devascularization |
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| QU Ming,XUE Jun,YANG Dong-dong.Analysis the Reason and Treatment of Measure of Portal Hypertension Rebleeding after Devascularization[J].Journal of Hebei North University:Medical Edition,2005,22(2):44-45. |
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| Authors: | QU Ming XUE Jun YANG Dong-dong |
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| Abstract: | Objective: To explore and analyse the reason and presentire measures of measure of portal hypertension rebleeding after devascularization. Methods: Retrospective clinical research was made on 5 out of 65 cases with gastrointestinal tract rebleeding after devascularization from Jan 1995 to Feb 2003. Results: Postoperative rebleeding rate was 7. 7% ( 5 of 65), 1 case esophagus-fundus ventriculi-varix bleeding, 2 cases showed gastric congestion, edema, erosion, capillary hcmorr-gastroscopy, 2 rebleeding cases were not connected with esophagus and gastro. All the cases are revealed by gastroscopy. Conclusion: It is efficient to prevent re-bleeding after operation by handing normally in operation and comprehensive treatment after operation. |
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| Keywords: | portal hypertension devascularization rebleeding |
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