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[食管横断术治疗食管静脉曲张破裂出血的价值与结果]

[Value and results of esophageal transsection in treatment of bleeding esophageal varices].

作者信息

Petri A, Karácsonyi S, Leindler L

机构信息

Chirurgische Klinik der Albert-Szent-Györgyi Medizinischen Universität, Szeged, Ungarn.

出版信息

Chirurg. 1994 Feb;65(2):132-5.

PMID:8162815
Abstract

A report on 40 patients is given, who had to undergo esophageal transection due to bleeding varices. 17 patients were operated as an emergency, 23 patients had a prophylactic treatment. Mortality was high with 58.82% and 21.7% respectively. The need of blood replacement was higher in the emergencies. The main cause of death was liver failure, the average time of survival 40 months. We conclude that esophageal transection is of some value in cases of acute bleeding, after failure of non-interventional treatment.

摘要

本文报告了40例因静脉曲张出血而不得不接受食管横断术的患者。17例患者接受了急诊手术,23例患者接受了预防性治疗。死亡率分别高达58.82%和21.7%。急诊患者的输血需求更高。主要死亡原因是肝衰竭,平均生存时间为40个月。我们得出结论,在非介入治疗失败后,食管横断术在急性出血病例中具有一定价值。

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