Kanematsu T, Takenaka K, Furuta T, Ezaki T, Sugimachi K, Inokuchi K
Arch Surg. 1985 Nov;120(11):1303-5. doi: 10.1001/archsurg.1985.01390350083017.
Changes in portal pressure before and after hepatic resection were monitored in 65 patients. Significant increases in portal pressure, from 226 +/- 13 mm saline to 277 +/- 16 mm saline were noted in 17 cirrhotics undergoing major hepatic resection. In 14 noncirrhotics undergoing major resection of the liver, pressure in the portal vein changed significantly from 198 +/- 10 mm saline to 226 +/- 9 mm saline. Conversely, there were no differences in the 26 cirrhotic and eight noncirrhotic individuals who underwent minor hepatic resection. Clinical analysis of these patients showed that acute portal hypertension induced by liver resection was not linked to increases in early postoperative death.
对65例患者肝切除前后的门静脉压力变化进行了监测。17例接受大肝切除的肝硬化患者门静脉压力显著升高，从226±13mm盐水柱升至277±16mm盐水柱。14例接受大肝切除的非肝硬化患者门静脉压力从198±10mm盐水柱显著升至226±9mm盐水柱。相反，26例接受小肝切除的肝硬化患者和8例接受小肝切除的非肝硬化患者门静脉压力无差异。对这些患者的临床分析表明，肝切除引起的急性门静脉高压与术后早期死亡增加无关。
