门静脉高压症术后近期并发症的分析  

Analysis of early complications after surgery for portal hypertension

作　　者：陈学金[1] 郭继雄[1] 刘佳薪[1] 丁建国[1] 潘舸[1] 王鹏[1] 

机构地区：[1]湖南省血吸虫病防治所附属湘岳医院普通外科,湖南岳阳414000

出　　处：《中国普通外科杂志》2005年第6期413-416,共4页China Journal of General Surgery

摘　　要：目的探讨门静脉高压症患者术后近期并发症发生的相关因素,为预防术后并发症的发生提供理论依据。方法对近40年来各类门静脉高压症手术病例进行回顾性分析。结果在8240例患者中,术后1个月内并发症发生率为19.66%,病死率为15.31%。主要死亡原因为MDOS、腹腔内大出血、肝肾综合征、复发上消化道出血等。结论门静脉高压症手术近期是否发生并发症与产生门静脉高压症的病因、是否有过腹水、手术时机与术式的选择、肝功能级别(Child分级)等因素有关。Objective To investigate the relevant factors for development of early postoperative complications in patients with portal hypertension due to advanced schistosomiasis, and to offer a theoretical basis for preventing the occurrence of postoperative complications. Methods The cases of advanced schistosomiasis with portal (hypertension) operated upon over the past 40 years were retrospectively reviewed. Results In 8 240 cases, the complication rate was 19.66% at one month after operation, and the mortality rate was 15.31%. The main causes of death were MDOS, massive hemorrhage into abdominal cavity, hepatorenal syndrome and (recurrence) of bleeding of upper alimentary tract. Conclusions The relevant factors for development of early complications after operation in patients with portal hypertension is related to the cause of portal hypertension, whether or not there is a history of ascites, the timing of operation and the stage of liver function(Child′s classification).

关 键 词：高血压 门静脉/外科学 手术后并发症 血吸虫病 

分 类 号：R657.34[医药卫生—外科学] R532.21[医药卫生—临床医学]