门脉高压症断流术后上消化道再出血24例分析

Analysis of 85 cases of upper gastrointestinal bleeding after portal hypertension flow surgery

目的:分析门脉高压症术后再出血的常见原因,提高再出血时治疗方案。方法:回顾分析24例贲门周围血管离断术术后出现上消化道再出血患者的临床资料。其中断流不彻底、残留高位或异位高位食管支9例;应激性溃疡5例;新的门奇静脉侧支循环4例;门脉高压性胃炎6例。结果:门脉高压性胃炎者出血量少可保守治疗,断流不彻底、应激性溃疡、新的门奇静脉侧支循环一般出血量大,需再次手术治疗。结论:了解门脉高压症断流术后上消化道再出血的原因后,可以确定正确的治疗方案。

Objective To analyze the common cause of rebleeding after the surgery of portal hypertension and to improve the treatment plan of rebleeding. Method Clinical data of 24cases of patients who had gastrointestinal bleeding after pericardial devascularization was an- alyzed retrospectively. Not complete drying,residual high or ectopic esophageal branch was in 9 eases;stress ulcer was in 5 cases;new doors azygos vein collateral circulation was in 4 cases ; portal hypertension gastritis was in 6 cases. Results If the portal hypertension gastritis bleeding was a little, we could have conservative treatment,if the drying is not thorough, stress ulcer, new doors azygos vein collateral circu- lation had generally large amount of bleeding, we need reoperation. Conclusion Understanding the reason of portal hypertension postopera- tive gastrointestinal bleeding,we can determine the correct treatment plan.