Wang Z G
Zhonghua Wai Ke Za Zhi. 1989 Jan;27(1):22-4, 61.
One-hundred cases of Budd-Chiari syndrome were treated from December 1982 to March 1988. There were 62 males and 38 females. Their ages ranged from 15 to 62 years averaged 32.6 years Seventy-six cases had intractable ascites, 56 had esophageal varices and 22 had upper gastrointestinal bleeding. There were 37 cases with membranous obstruction, 57 with occlusion of the inferior vena cava above the confluence of the hepatic veins and 6 with occlusion of hepatic veins. Eighty-one cases (81%) were operated upon. Operative mortality was 8.6% (7/81). Follow-up from 2 to 63 months revealed that 60 operated cases (74.1%) had good results, while 11 of 19 (58%) patients treated conservatively died within two months after admission. It is concluded that the operative procedure must be tailored to the etiology and pathology. The mesoatrial shunt is the operation of choice for occlusion of the retrohepatic IVC and hepatic veins, the cava-atrial shunt for occlusion of the IVC and patent hepatic veins, membranotomy for IVC web, and the meso-caval shunt for intrahepatic venous occlusion. For those who also have superior vena cava compression syndrome, an innominate-atrial shunt should be added.
1982年12月至1988年3月期间，共治疗了100例布加综合征患者。其中男性62例，女性38例。年龄范围为15至62岁，平均32.6岁。76例有顽固性腹水，56例有食管静脉曲张，22例有上消化道出血。37例为膜性梗阻，57例为肝静脉汇合处上方的下腔静脉闭塞，6例为肝静脉闭塞。81例（81%）接受了手术治疗。手术死亡率为8.6%（7/81）。随访2至63个月发现，60例手术患者（74.1%）效果良好，而19例保守治疗患者中有11例（58%）在入院后两个月内死亡。结论是手术方式必须根据病因和病理进行调整。对于肝后下腔静脉和肝静脉闭塞，中房分流术是首选手术；对于下腔静脉闭塞且肝静脉通畅，腔房分流术是首选；对于下腔静脉膜性病变，可行膜切开术；对于肝内静脉闭塞，可行中腔分流术。对于合并上腔静脉压迫综合征的患者，应加做无名-心房分流术。
