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[肝外门静脉高压症患儿肝脏血流动力学及功能变化与门腔分流术式的关系]

[Hemodynamic and functional changes in the liver of children with extrahepatic portal hypertension in relation to the method of portacaval shunt].

作者信息

Leont'ev A F, Mironov S P, Nabiev S N, Seniakovich V M

出版信息

Vestn Khir Im I I Grek. 1988 Aug;141(8):68-71.

PMID:3232302
Abstract

Scintihepatographic investigations with colloid 99mTc before and after operations in 4 groups of children were performed: with cavo- or ileomesenterial anastomosis, with splenorenal anastomosis with splenectomy and cavo- or ileomesenterial anastomoses in children with previously performed splenectomy and in a group of comparison. Perfusion of the liver was found to decrease: in the least degree after splenorenal anastomosis and in the greater degere after cavo- and ileomesenterial one. It was established that all kinds of shunts ensured function of hepatocytes.

摘要

对4组儿童在手术前后进行了99mTc胶体肝闪烁造影检查:进行腔静脉或回肠肠系膜吻合术的儿童、进行脾肾吻合术并脾切除术的儿童、之前已行脾切除术且进行腔静脉或回肠肠系膜吻合术的儿童以及一组对照组。发现肝脏灌注减少:脾肾吻合术后减少程度最小,腔静脉和回肠肠系膜吻合术后减少程度较大。已确定各种分流术均能确保肝细胞的功能。

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