远端脾肾分流术后酗酒者与非酗酒者的生存情况比较。
The comparative survivals of alcoholics versus nonalcoholics after distal splenorenal shunt.
作者信息
Zeppa R, Hensley G T, Levi J U, Bergstresser P R, Hutson D G, Livingstone A S, Schiff E R, Fink P
出版信息
Ann Surg. 1978 May;187(5):510-4. doi: 10.1097/00000658-197805000-00008.
Abstract
Survival after distal splenorenal shunt in appreciably better in nonalcoholic patients than in alcoholics. This increase in survival does not appear to be dependent upon the state of biochemical liver function or the severity of changes in liver histology since these latter were similar for both groups. We suggest that the poorer survival of alcoholics may be related to continuing alcohol toxicity, and that a possible reason for the failure to demonstrate this difference in survival after portacaval shunts may be due to the harmful effects of total portal diversion on the liver.
摘要
非酒精性患者行远端脾肾分流术后的生存率明显高于酒精性患者。生存率的提高似乎并不取决于生化肝功能状态或肝组织学改变的严重程度，因为两组在这些方面相似。我们认为，酒精性患者生存率较低可能与持续的酒精毒性有关，而在门腔分流术后未能显示出生存差异的一个可能原因可能是全门静脉分流对肝脏的有害影响。
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