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急诊门腔分流术治疗食管胃静脉曲张持续出血(作者译)

[The emergency portacaval shunt in the treatment of persistent hemorrhage from gastroesophageal varices (author's transl)].

作者信息

Steegmüller K W, Fischer R

出版信息

Langenbecks Arch Chir. 1980;353(2):81-8. doi: 10.1007/BF01254769.

Abstract

From 1963 to March 1980 a delayed portacaval emergency shunt was carried out in 103 unselected patients with persistent hemorrhage from gastroesophageal varices. A portacaval shunt was not performed in patients with hepatic coma and renal insufficiency. Operative mortality was 29% with 10% in cases with risk A, 26% in cases with risk B, and 58% in risk C according to Child's classification.

摘要

1963年至1980年3月,对103例未经挑选的、因胃食管静脉曲张持续出血的患者实施了延迟性门腔静脉急诊分流术。对患有肝昏迷和肾功能不全的患者未进行门腔静脉分流术。根据Child分级,手术死亡率为29%,其中A级风险患者为10%,B级风险患者为26%,C级风险患者为58%。

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