门脉高压征门奇静脉断流术后胃破裂的防治  

Prevention of Portal Hypertension Gastrobrosis after Devascularization

作　　者：屈明[1] 薛军[1] 杨东东[1] 

机构地区：[1]河北北方学院附属第一医院普外科,河北张家口075000

出　　处：《河北北方学院学报（医学版）》2005年第3期30-31,共2页Journal of Hebei North University:Medical Edition

摘　　要：目的:探讨门奇静脉断流术后胃破裂的原因和防治措施.方法:回顾分析1995.1～2003.2月我院65例门脉高压征行门奇静脉断流术+脾切除术后胃破裂的患者.结果:65例患者中2例患者术后发生胃底破裂,1例经二次开腹修补破裂口痊愈,后因肝功能衰竭死亡,另一例二次术后痊愈出院,随访至今无严重并发症出现.结论:门奇静脉断流术+脾切除术中离断脾胃韧带时尽量靠脾侧切断韧带,近胃侧断端贯穿缝扎并包埋于浆膜腔内,术后持续胃肠减压,同时给予止酸保护胃粘膜药物治疗,可有效防止该并发症的发生.Objective:To explore and analyse the r eason and preveative measure of portal hypertension gastrobrosis after devascula rization. Methods: Retrospective clinical study has been made on 2 out of 65 cases with gastrobrosis after devascularization from Jan 1995 to Fe b 2003. Results: Gastrobrosising rate was 3%(2 of 65), reoperati on was required for both of them. 1 out of 2 cases died of lever failure and the other one was cured. Conclusion: the treatment of portal hypert ensive gastropathy is significant to prevent gastrobrosis after devascularizatio n.

关 键 词：门脉高压征 门奇静脉断流术 脾切除术 胃破裂 

分 类 号：R544.1[医药卫生—心血管疾病]