Soyer P, Lacheheb D, Zeitoun G, Parmentier G, Hay J M, Levesque M
Service de Radiologie, Hôpital Louis-Mourier, Colombes.
Gastroenterol Clin Biol. 1993;17(2):130-3.
A 34-year-old woman with liver cirrhosis and portal hypertension was admitted for gastric bleeding due to congestive gastropathy. Her past medical history included 4 episodes of variceal rupture within the last 5 months. As medical treatment was a failure, an emergency transjugular intrahepatic portosystemic shunt was successfully performed, resulting in a marked drop in portal pressure (from 32 to 15 mm Hg) and a subsequent arrest of acute hemorrhage. Four months later, no recurrent bleeding has been observed and the shunt has remained patent as documented by duplex Doppler sonography.
一名34岁患有肝硬化和门静脉高压的女性因充血性胃病导致胃出血入院。她过去的病史包括在过去5个月内发生过4次静脉曲张破裂。由于药物治疗失败,成功进行了紧急经颈静脉肝内门体分流术,导致门静脉压力显著下降(从32毫米汞柱降至15毫米汞柱),随后急性出血停止。四个月后,未观察到复发性出血,经双功多普勒超声检查证明分流仍保持通畅。