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[我们对肝硬化和门静脉高压症患者手术治疗潜力的判断]

[Our judgements on the potential for surgical treatment of patients with liver cirrhosis and portal hypertension].

作者信息

Tsatsanidi K N, Eramishantsev A K, Korshunov I B

出版信息

Ter Arkh. 1988;60(10):26-30.

PMID:3265545
Abstract

The results of surgery of 267 patients with liver cirrhosis and portal hypertension were analyzed. Operation was indicated in actual danger of bleeding from varicose dilated esophageal and gastric veins; surgical intervention should be limited to selective portocaval anastomoses or to direct operation on esophageal and gastric veins. Indications for splenectomy in such patients should be limited. Analysis of the results of treatment of 80 patients with decompensated liver cirrhosis was indicative of some progress in therapy of patients with ascites resistant to drug therapy.

摘要

对267例肝硬化和门静脉高压患者的手术结果进行了分析。手术适用于食管和胃静脉曲张有实际出血危险的情况;手术干预应限于选择性门腔静脉吻合术或对食管和胃静脉进行直接手术。此类患者脾切除术的适应证应严格限制。对80例失代偿期肝硬化患者的治疗结果分析表明,在治疗对药物治疗耐药的腹水患者方面取得了一些进展。

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