贲门周围血管离断、脾大部切除及脾静脉体静脉化治疗门静脉高压症的初步体会

The preliminary experience of treatment for portal hypertension with pericardial devascularization, subtotal splenectomy and distal splenorenal shunt

采用贲门周围血管离断、脾大部切除及远端脾肾静脉吻合术治疗１３例门静脉高压症。１３例中肝功能按Ｃｈｉｌｄ分级Ａ级１例，Ｂ级９例，Ｃ级３例．术后发热发生率、血小板计数、血清免疫球蛋白于手术前后变化值均存在显著性差异。肝硬化脾功能亢进严重．有上消化道出血或重度食管静脉曲张，腹水经内科治疗易于消退者可以此术式作为治疗性或预防性手术，更适合于儿童期门脉高压症的治疗，但不作为急性食管曲张静脉大出血的抢救手术。

From june 1986 to Oct 1988,pericardiac devascularization, subtotal splenctomy and distal splenorenal shunt t"as Performed in 13 cases with portal hypertension. Among these patients, 1 was in childs class A, 9 in class B, and 3 in class C. The changs of fever rate, blood platalet count, and concentration of serum immunoglobulin had significant defference between preoperation and postoperation. From the preliminary results obtained, the authous conclude that this procedure is effective and safe in the treatment of esophagogastric variceal bleeding and severe hypersplenisu, and it can also be used as a prophylactic procedure in Child's class A and B patients, and particularly advisable for children, but it can't be used as saving measure for the patient who had acute esopageal verices bleeding.