贲门周围血管离断术治疗门脉高压急性大出血51例分析

Pericardial Devascularization in Treatment of Portal Hypertension Associated with Acute Upper Digestive Tract Hemorrhage

目的:探讨门脉高压症并发大出血行急诊贲门周围血管离断术的临床疗效。方法:51例均急诊行脾切除,贲门周围血管离断术。结果:51例均获得随访,近期死亡2例,其余49例获6个月至7年随访,无再出血者,死亡9例,余40例疗效满意。结论:贲门周围血管离断术急诊应用时,合理选择适应证,精细操作,确切断流,注重围手术期合并症的处理,可以取得满意的临床疗效。

Objective：To study the curative effect of pericardial devascularization for treating the portal hypertension associated with upper digestive tract hemorrhage. Methods：Fifty-first cases were underwent pericardial devaseularization and spleenectomy. Results：No short term bleeding occurred. There were no complication and death cases. During a follow-up of 6 months to 7 years,no rebleeding was found,and 9 cases were died. Conclusion：Treating portal hypertension associated with upper digestive tract hemorrhage by way of pericardial devascularization has definitely hemostatie effect.