Králík J, Grosmanová T
1st Surgical Clinic, Medical Faculty, Palacký University, Olomouc, Czech Republic.
Acta Univ Palacki Olomuc Fac Med. 1993;136:49-51.
The authors report on the group of 85 patients with portal hypertension in whom a portosystemic shunt was established for uncontrolled bleeding from varices--in the period from 1968 to 1993. A total lethality was 9.4%, in planned operations 5.9%, in acute interventions 22%. Some aspects of shunt-operation are discussed (prehepatic portal hypertension, acute shunt, shunt preceding liver transplantation). It is concluded that the portosystemic shunt still plays a role in the therapy of complicated portal hypertension, although only as a selective intervention.
作者报告了1968年至1993年间，为控制静脉曲张破裂出血而进行门体分流术的85例门静脉高压患者。总死亡率为9.4%，计划性手术死亡率为5.9%，急性干预死亡率为22%。讨论了分流手术的一些方面（肝前门静脉高压、急性分流、肝移植前分流）。结论是，门体分流术在复杂性门静脉高压的治疗中仍发挥作用，尽管只是作为一种选择性干预措施。
