Tůma J, Tecl F, Teyschl O
Klinika dĕtské chirurgie FDN a LF Masarykovy univerzity, Brno.
Rozhl Chir. 1993 Apr;72(3):94-5.
The authors' department has devoted the past 25 years to treatment of portal hypertension in children and above all to the most dramatic manifestations-haemorrhage from oesophageal varicosities. In previous years a number of surgical and conservative methods was used. The milestone in therapeutic strategy and tactics was the year 1990 when endoscopic sclerotization of oesophageal varices was introduced as a routine method. Since then 14 patients aged 5-17 years were treated. In addition to sclerotization also medicamentous and surgical treatment are used. The authors evaluate their experience assembled during the past three years and recommend optimal procedures in children. They try also to foresee the future development of therapy.
作者所在科室在过去25年致力于儿童门静脉高压症的治疗,尤其是针对最严重的表现——食管静脉曲张出血。前些年采用了多种手术和保守治疗方法。治疗策略和战术上的里程碑是1990年,当时食管静脉曲张内镜硬化治疗被作为常规方法引入。从那时起,共治疗了14例5至17岁的患者。除了硬化治疗外,还采用了药物和手术治疗。作者评估了过去三年积累的经验,并推荐了儿童的最佳治疗程序。他们还试图预测治疗的未来发展。