Jiang Z M
Zhonghua Wai Ke Za Zhi. 1989 Nov;27(11):676-9, 702.
163 patients with portal hypertension underwent portal systemic shunting at PUMC hospital during the time of 1970's. There were 98 cases had central spleno-renal shunts. 38 had portacaval shunts and 27 had meso-caval shunts. The live function in this group are A-40%, B-55% and C-5%. The totaled operative mortality was 11.0%, and the totaled 5 years survival was 59.5%. The analysis reveals that: (1) The long-term survival and the patient's life quality were significant influenced by liver function and the type of shunting; (2) The mortality of emergency operation was significant higher than elective shunting surgery (30.0% vs 4.6%); (3) The cephalopathy and rebleeding rate were correlated with the type of shunting, liver function and the diameter of shunt; (4) The patient with A or B liver function could accept either elective or emergency operation, but emergency surgery should be carefully chosen for. The mortality was higher than 80% in emergency shunting for the patient with liver function C.
20世纪70年代，163例门静脉高压患者在协和医院接受了门体分流术。其中98例行脾-肾分流术，38例行门腔分流术，27例行肠系膜-腔静脉分流术。该组患者肝功能分级为A级的占40%，B级的占55%，C级的占5%。手术总死亡率为11.0%，5年总生存率为59.5%。分析结果显示：（1）肝功能和分流类型对长期生存及患者生活质量有显著影响；（2）急诊手术死亡率显著高于择期分流手术（30.0%对4.6%）；（3）脑病和再出血率与分流类型、肝功能及分流直径相关；（4）肝功能为A或B级的患者可接受择期或急诊手术，但急诊手术需谨慎选择。肝功能为C级的患者急诊分流术死亡率高于80%。
