门静脉高压症外科手术后再出血原因的分析与对策  

Cause analysis and prevention of rehaemorrhage after surgical procedure on cirrhotic portal hypertension

作　　者：周光文[1] 关蛟 Zhou Guangwen;Guan Jiao(Department of General Surgery,the Affiliated Sixth People＇s Hospital,Shanghai Jiaotong University,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院普通外科,200233

出　　处：《中华消化外科杂志》2018年第10期981-984,共4页Chinese Journal of Digestive Surgery

基　　金：上海市科委医学引导项目（14411960700）

摘　　要：门静脉高压症外科手术后再出血的比例为10%，最常见的原因是食管胃底曲张静脉再次形成并破裂出血。门静脉高压症胃黏膜病变、胃窦部血管扩张和异位曲张静脉破裂出血，各自出血的原因不同，临床表现不同，诊断和治疗策略也不同，分析原因提出对策，从而降低再出血所致的相关并发症发生率，提高疗效和延长患者的生存时间。The ratio of postoperative rehaemorrhage after surgical procedure on cirrhotic portal hypertension is about 10%, and most common reason is reformation and rupture of esophagogastric varices. Other causes such as gastric mucosal lesion of portal hypertension,gastric antral vasodilatation and ectopic bleeding, have different clinical manifestations. Therefore different diagnostic and therapeutic strategies are needed. And these strategies would decrease the occurrence of complications and increase the therapeutic effects and prolong the survival duration.

关 键 词：门静脉高压症 再出血 诊断 治疗 

分 类 号：R657.34[医药卫生—外科学]