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[肝硬化中血液和淋巴循环的外科矫正]

[Surgical correction of blood and lymph circulation in liver cirrhosis].

作者信息

Iarema I V, Omarov I M

出版信息

Vestn Khir Im I I Grek. 2000;159(6):17-9.

Abstract

After modeling cirrhosis of the liver in experimental dogs the gastroesophagolienal hemo- and lymphocirculation and that of the greater omentum were transferred into the system of the vena cava inferior, the mesenterial outflow being preserved through the liver. The dynamic observation of the experimental animals has shown the intervention performed to be valid. In 6 patients the gastroesophagolienal circulation and that of the greater omentum were transferred into the system of the vena cava inferior. The proposed method of surgical correction leads to lower portal pressure, to saved hepatopetal blood flow along the portal vein. The reestablished absorbing capacity of the greater omentum and the developed collateral lymph circulation decrease the transudation of the lymph into the abdominal cavity and increase its reabsorption.

摘要

在对实验犬进行肝硬化建模后,将胃食管血液和淋巴循环以及大网膜的循环接入下腔静脉系统,通过肝脏保留肠系膜流出道。对实验动物的动态观察表明所进行的干预是有效的。在6例患者中,将胃食管循环和大网膜的循环接入下腔静脉系统。所提出的手术矫正方法可降低门静脉压力,沿门静脉保留向肝血流。大网膜恢复的吸收能力和建立的侧支淋巴循环减少了淋巴液渗入腹腔并增加了其重吸收。

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