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[儿童门静脉高压症出血时食管结扎术]

[Ligation of the esophagus in hemorrhage resulting from portal hypertension in children].

作者信息

Misharev O S, Ovcharenko V A

出版信息

Vestn Khir Im I I Grek. 1987 Jun;138(6):76-9.

PMID:3499699
Abstract

The authors present a technique of the operation described by Vosschulte and Boerema and aimed at ligation of the esophagus for prophylaxis and arrest of hemorrhage from esophageal varices. "Collapsible prostheses" were used in 8 operations on 7 patients. In primary interventions the authors proposed laparotomy giving a good possibility for manipulations on the esophagocardial portion of the stomach. In secondary operations a transthoracic access with diaphragmotomy was used. The most frequent complication--scarry constriction of the esophagus--can be easily eliminated due to timely diagnosis and cardiodilatation. No recurrent bleedings were noted. The endoscopic and X-ray examinations failed to reveal esophageal varices.

摘要

作者介绍了一种由沃舒尔特和布尔雷马描述的手术技术,旨在结扎食管以预防和阻止食管静脉曲张出血。7例患者接受了8次手术,术中使用了“可折叠假体”。在初次手术中,作者建议采用剖腹术,这为在胃食管心脏部分进行操作提供了良好的可能性。在二次手术中,采用经胸入路并切开膈肌。最常见的并发症——食管瘢痕性狭窄——由于及时诊断和心脏扩张很容易消除。未观察到复发出血。内镜和X线检查未发现食管静脉曲张。

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