门静脉高压症断流术后并发门静脉系统血栓的治疗体会

The treatment taste of the portal vein thrombosis in the patients undergoing pericardial devascularization with splenectomy

目的 探讨门静脉高压症断流术后门静脉系统血栓的成因及防治。方法 对 6例肝硬化门静脉高压症断流术后并发门静脉系统血栓的原因及其防治进行回顾性分析 ,从而制定治疗措施。结果 3 6例肝硬化门静脉高压症断流术病人 ,门静脉系统血栓发生率 16.7% ,均经彩色多普勒超声证实 ,经早期口服潘生丁 ,静滴低分子右旋糖酐祛聚治疗 ,随诊 3个月 ,血栓无进一步发展 ,也未引起相应其它并发症。结论 肝硬化门静脉高压症断流术后门静脉系统血栓有一定发病率 ,可造成肝功能进一步受损及内脏血流瘀滞 ,甚至肠坏死 ,危及生命 ,所以对其早期防治有重要意义。

Objective To explore the cause,prevention and cure of the Portal Vein Thrombosis(PVT) in the patients undergoing pericardial devascularization with splenectomy.Method In 36 cases of cirrhosis patients after pericardial devascularization with splenectomy,6 of them got PVT.We conduct a retrospective analysis to formulate the therapeutics of PVT.Result In the total 36 patients undergoing pericardial devascularization with splenectomy,the incidenct of PVT is 16.7%.These 6 patients with PVT received persantine orally and low molecular dextran IV drip in earlier period.During the follow-up of three months,the state of their thrombosis were stable and no complication cause by thromboembolism occured.Conclusion PVT is occasionally seen in the cirrhosis patients after pericardial devascularization with splenectomy,it can cause the damage of liver function and splanchnic blood stream stasis,even can cause intestinal necrosis and to die.To prevention and cure of the PVT in earlier period is significance.