Alwmark A, Bengmark S, Gullstrand P, Joelsson B, Lunderquist A, Owman T
Ann Surg. 1982 Nov;196(5):518-24. doi: 10.1097/00000658-198211000-00003.
Twenty-five patients with hypersplenism caused by portal hypertension were treated by repeated partial splenic embolization. Fourteen surviving patients were followed for up to six years showing a good response on peripheral blood count and bleeding tendency. Three patients died in connection with the treatment and another eight died within half a year because of the underlying liver disease. The discomfort and complications of fever, pain, pleural effusion, and abscess formation and the possibility to avoid these by repeated partial embolization under antibiotic cover are discussed. The results are compared with reports in the reviewed actual literature and the splenic embolization is given a place among the means of a successful selective symptomatic treatment of partial hypertension.
对25例门静脉高压所致脾功能亢进患者行重复部分性脾栓塞治疗。14例存活患者随访长达6年，外周血细胞计数及出血倾向改善良好。3例患者治疗相关死亡，另8例半年内死于基础肝病。讨论了发热、疼痛、胸腔积液、脓肿形成等不适及并发症，以及在抗生素覆盖下通过重复部分栓塞避免这些情况的可能性。将结果与现有文献报道进行比较，并肯定了脾栓塞在门静脉高压选择性对症治疗中的地位。
