Tsybyrné K A, Danu M I, Stabinskiĭ R A, Namashko M V
Khirurgiia (Mosk). 1991 Oct(10):74-8.
Experience in the treatment of 129 patients with esophagogastric hemorrhage due to portal hypertension is discussed. An original modification of the design of Blakemore's tube is suggested, with the use of which the results of nonoperative treatment were improved and the mortality among this category of patients was reduced. Operation was performed on 75 patients. The total mortality among all hospitalized patients was 6.2%. The Tanner-Petrov operation was carried out on 55 patients, splenorenal anastomosis was formed in 6, organopexy was conducted on 4, splenectomy in combination with organopexy in 8, and portocaval anastomosis was formed in 2 patients. Three patients died after the operation.
本文讨论了129例门静脉高压引起的食管胃底出血患者的治疗经验。提出了对布莱克莫尔管设计的一种原创性改进，使用该改进后，非手术治疗的效果得到改善，此类患者的死亡率降低。75例患者接受了手术。所有住院患者的总死亡率为6.2%。55例患者进行了坦纳 - 彼得罗夫手术，6例进行了脾肾吻合术，4例进行了器官固定术，8例进行了脾切除术联合器官固定术，2例进行了门腔静脉吻合术。3例患者术后死亡。
