中国血吸虫病防治杂志

• 防治经验 •    

贲门周围血管离断术治疗门静脉高压食管静脉曲张破裂出血

郑绍龙   

  1. 湖北省潜江市血吸虫病预防控制所(潜江433100)
  • 收稿日期:2014-12-03 出版日期:2015-03-02 发布日期:2015-03-02
  • 通讯作者: 郑绍龙
  • 作者简介:郑绍龙|男|副主任医师。研究方向:血吸虫病控制

Clinical effect of cardiac peripheral vascular disconnection in emergency treatment of gastroesophageal bleeding caused by portal hypertension

ZHENG Shao-Long   

  1. Qianjiang Municipal Institute for Schistosomiasis Control||Hubei Province| Qianjiang 433100| China
  • Received:2014-12-03 Online:2015-03-02 Published:2015-03-02

摘要:

目的 观察贲门周围血管离断术急诊治疗门静脉高压食管静脉曲张破裂出血的临床效果。方法 分析潜江市血吸虫病预防控制所2001-2012年收治的43例急诊贲门周围血管离断术患者临床资料。结果 43例急诊手术患者,止血成功43例(100%),临床治愈42例(97.67%),肝功能衰竭死亡1例(2.33%)。结论 急诊贲门周围血管离断术对门静脉高压食管静脉曲张破裂出血具有良好的治疗效果。

关键词: 晚期血吸虫病, 食管静脉曲张破裂出血, 贲门周围血管离断术

Abstract:

Objective To evaluate the clinical effect of cardiac peripheral vascular disconnection in the emergency treatment of gastroesophageal bleeding caused by portal hypertension. Methods The data of 43 cases of cardiac peripheral vascular disconnection in the emergency treatment of gastroesophageal bleeding caused by portal hypertension were collected and analyzed retrospectively from 2001 to 2012. Results The bleeding in all the 43 patients who received the cardiac peripheral vascular disconnection was stopped. Totally 42 patients were recovered (97.7%) but 1 died from hepatic failure (2.3%). Conclusion The clinical effect of cardiac peripheral vascular disconnection in the emergency treatment of gastroesophageal bleeding caused by portal hypertension is definite, and the operation is also simple.

Key words: Advanced schistosomiasis, Bleeding in gastroesophageal vaccines, Cardiac peripheral vascular disconnection

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