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经肝胃食管静脉曲张闭塞术:急性和非急性出血患者的治疗结果

Transhepatic obliteration of gastroesophageal varices: results in acute and nonacute bleeders.

作者信息

Viamonte M, Pereiras R, Russell E, Le Page J, Hutson D

出版信息

AJR Am J Roentgenol. 1977 Aug;129(2):237-41. doi: 10.2214/ajr.129.2.237.

DOI:10.2214/ajr.129.2.237
PMID:409156
Abstract

Seventy-three patients with hepatic cirrhosis and bleeding gastroesophageal varices underwent transhepatic portal vein catheterization and variceal obliteration. Gastroesophageal varices were successfully obliterated in 32 patients actively bleeding and in 35 patients with stabilized bleeding gastroesophageal varices. The remaining six were technical failures. Follow-up examinations in 10 patients from 1 month to 3 years later showed persistent obliteration of embolized veins. Recurrence of variceal bleeding occurred in nine patients. This method should be considered as a palliative, effective adjuvant to the medical treatment of patients with bleeding gastroesophageal varices.

摘要

73例肝硬化合并胃食管静脉曲张出血患者接受了经肝门静脉插管及曲张静脉闭塞术。32例活动性出血患者和35例胃食管静脉曲张出血已稳定的患者的胃食管静脉曲张成功闭塞。其余6例手术失败。对10例患者在术后1个月至3年进行随访检查,结果显示栓塞静脉持续闭塞。9例患者出现曲张静脉出血复发。该方法应被视为胃食管静脉曲张出血患者药物治疗的一种姑息性、有效的辅助治疗方法。

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Transhepatic obliteration of gastroesophageal varices: results in acute and nonacute bleeders.经肝胃食管静脉曲张闭塞术:急性和非急性出血患者的治疗结果
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[Percutaneous transhepatic obliteration of gastroesophageal varices in liver cirrhosis (author's transl)].肝硬化患者经皮肝穿刺胃食管静脉曲张闭塞术(作者译)
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引用本文的文献

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Gastrointestinal Hemorrhage Due to Duodenal Varix: A Case Report.十二指肠静脉曲张所致消化道出血:一例报告
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Portal hypertensive enteropathy.
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World J Hepatol. 2015 Feb 27;7(2):127-38. doi: 10.4254/wjh.v7.i2.127.
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Updates in the pathogenesis, diagnosis and management of ectopic varices.异位静脉曲张的发病机制、诊断和治疗的新进展。
Hepatol Int. 2008 Sep;2(3):322-34. doi: 10.1007/s12072-008-9074-1. Epub 2008 May 31.
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Acute bleeding varices: a five-year prospective evaluation of tamponade and sclerotherapy.急性静脉曲张出血:填塞法与硬化疗法的五年前瞻性评估
Ann Surg. 1981 Oct;194(4):521-30. doi: 10.1097/00000658-198110000-00015.
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Complications of gastrointestinal radiologic procedures: III. Complications of diagnostic and interventional angiography.胃肠道放射学检查的并发症:III. 诊断性和介入性血管造影的并发症。
Gastrointest Radiol. 1981 Jan 15;6(1):57-67. doi: 10.1007/BF01890222.
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What's new in the esophagus.食管领域有哪些新进展?
Dig Dis Sci. 1981 Feb;26(2):161-73. doi: 10.1007/BF01312237.
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Bleeding varices: 1. Emergency management.静脉曲张出血:1. 急诊处理。
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