改良Hassab加肠腔静脉分流术治疗门脉高压症上消化道大出血（附11例报告）  

TREATMENT OF UPPER ALIMENTARY TRACT BLEEDING OF PORTAL VENOUS HYPERTENTION BY IMPROVING HASSAB ADD PORTAL VENOUS FRACTION FLOW (WITH 11 CASES REPORT)

作　　者：曹玉军[1] 王茂信[1] 崔连珉[1] 张龙轩[1] 刘云[1] 刘东滨[1] 高宽江[1] 韩伟[1] 王金光[1] 秦军[1] 孟凡庭 

机构地区：[1]临沂市人民医院普外科,临沂医专

出　　处：《临沂医学专科学校学报》1996年第2期113-116,共4页Journal of Linyi Medical College

摘　　要：本文采用脾切除贲门周围血管离断（改良Ｈａｓｓａｂ），加肠腔静脉吻合（分流）手术治疗门脉高压症上消化道大出血１１例。肝功能Ⅰ级１例，Ⅱ级６例，Ⅲ级４例。手术成功率１００％。随访观察６至９个月，２例肝功能复查由原Ⅲ级恢复到Ⅰ级。这种断流、分流联合术式，不仅能减少或消除术后再出血及肝性脑病的发生，而且对严重肝功能损害及难以控制的腹水，亦能较好控制。cases of upper alimentary tract bleeding of portal venous hypertention weretreated by splenectomy, cutting the blood vessels around the cardial opening and anastomosing entro-venae cavae. The success rate of surgery is 100%. After following vistfrom 6 to 9 months. 2 cases have liver function recovered from Ⅲ to Ⅰ. This method ofcutting flow combined with fraction flow not only reduces post-opration bleeding, theincidence of hepatic encephalopathy. but it can also control the patients' ascites whichcaused by serious liver function damage which is difficult to control before operation.

关 键 词：门脉高血压 出血 胃肠 贲门 外科手术 

分 类 号：R657.340.5[医药卫生—外科学]