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[84岁急性静脉曲张出血患者行经颈静脉肝内门体分流术(TIPS)的应用]

[Use of transjugular intrahepatic portosystemic shunt (TIPS) in an 84 year-old patient during acute variceal bleeding].

作者信息

Grinberg A R, de la Serna F, Silva M, Finkielman J D, Magariños E, Festa H M, Lorenzino G A, Cazenave C A

机构信息

Unidad de Terapia Intensiva, Sanatorio Jockey Club, Trinidad, Buenos Aires.

出版信息

Medicina (B Aires). 1998;58(3):295-7.

PMID:9713100
Abstract

The transjugular intrahepatic protosystemic shunt (TIPS) is a nonsurgical method with low mortality which does not interfere with subsequent liver transplantation. We describe the case of an old male patient with chronic hepatopathy who was admitted because of an episode of variceal bleeding. Due to the failure of the medical treatment and sclerotherapy, coronarian stomachic vein was embolized with a coil and a TIPS was performed during the acute episode of variceal bleeding. He evolved favorably and after a year of the procedure remains asymptomatic.

摘要

经颈静脉肝内门体分流术(TIPS)是一种死亡率低的非手术方法,不影响后续肝移植。我们描述了一例老年男性慢性肝病患者,因静脉曲张出血入院。由于药物治疗和硬化疗法失败,在静脉曲张出血急性期,用弹簧圈栓塞冠状胃静脉并进行了TIPS。他恢复良好,术后一年仍无症状。

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