摘要
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.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第10期611-614,共4页
Chinese Journal of Surgery