重症布-加综合征的围手术期处理  

Peri-operative treatment of severe Budd-Chiari syndrome

作　　者：马秀现[1] 李晶义[1] 许培钦[1] 

机构地区：[1]郑州大学第一附属医院普外科,河南郑州450052

出　　处：《肝胆胰外科杂志》2008年第1期20-21,24,共3页Journal of Hepatopancreatobiliary Surgery

基　　金：河南省卫生厅医学高新技术发展扶持项目(20060030)

摘　　要：目的探讨重症布-加综合征围手术期的合理处理方法。方法回顾性分析94例重症布-加综合征患者的临床资料。放射介入治疗11例,均行经皮肝穿肝静脉球囊导管扩张成形术;手术治疗83例,其中肠-腔分流术53例,脾-颈内静脉转流术10例,改良脾-肺固定术2例,腔-房转流术15例,B-CS根治术3例。结果围手术期内,79例治愈,9例好转,死亡6例。结论对于不同临床症状,不同病变类型及不同手术方式的患者,要分别给予不同的围手术期处理。Objective To explore the rational management method of the perioperative treatment of severe Budd-Chiari syndrome. Methods Ninty-four patients with severe Budd-Chiari syndrome treated in our hospital were retrospectively analyzed. Of whom, percutaneous hepatic vein angioplasty was performed in 11 cases, mesocaval shunt was performed in 53 cases, splenojugular shunt in 10 cases, modified splenopneumopexy in 2 cases, inferior vena cava-right atrium C type shunt with artificial graft in 15 cases, radical resection in 3 case. Results Seventy-nine patients were cured; nine patients were taking a turn for the better, six patients died. Conclusion Patients with different clinical symptoms, different diseased types and different operative patterns should be undergone different perioperative managements.

关 键 词：重症布-加综合征 外科手术 介入治疗 围手术期处理 

分 类 号：R657.34[医药卫生—外科学]