肠系膜静脉与颈静脉转流术治疗重型布加综合征

Management of high risk Budd-Chiarl syndrome withmesojugular shunt:report of 16 cases

长段阻塞的布加综合征患者，常出现大量腹水、重度营养不良、低蛋白血症、胸腔积液、气短甚至端坐呼吸等症状，其治疗棘手。作者采用肠系膜静脉－颈内静脉转流术治疗１６例，显效率为５３％，有效率２０％。手术死亡率为１３％。作者认为，肠系膜静脉－颈内静脉转流术为高危布加综合征患者的治疗开辟了新的途径。

AbstractStandard procedures to treat Budd-Chiari syn-drome caused by Iocalized occlusions of the inferior ve-na cava and /or hepatic venous occlusion have been es-tablished. However, for those caused by long segmen-tal occlusion or constriction accompanying with large a-mount of ascites,maInutrition, hypoalbumineamia,even pleural effusion, and breathlessness even orthop-nea,no proper approaches are available, Hereby wereport a new methed of mesojugular shunt.Sixteen pa-tients have been treated resuIting in excellent resuIt in53%of patients and fair in 20%. The operative mor-tality was 13%. We consider mesojugular shunt is aproper means for relieving high risk patients withBudd-Chiari syndrome.