儿童肝外型门脉高压症的诊治  

Treatment of Extrahepatic Portal Hypertension in Children

作　　者：吴继东[1] 汪忠镐[2] 王仕华[1] 靳裕峰[1] 曾嵘[1] 

机构地区：[1]中国医学科学院北京协和医院血管外科中心,北京100032 [2]浙江大学医学院附属第一医院血管外科,杭州310003

出　　处：《中国现代手术学杂志》2003年第5期375-377,共3页Chinese Journal of Modern Operative Surgery

摘　　要：目的　探讨儿童肝外型门脉高压症的临床分型和治疗经验。　方法　回顾 30例门脉高压症患儿 ,肝前性门脉高压 13例 (43.3% ) ,肝后性即布加综合征 17例 (5 6 .7% )。手术治疗 2 0例 ,保守治疗 10例。　结果　 2 0例手术治疗患儿治愈好转 18例 (90 % )。其中肝前性门脉高压手术治疗 10例 ,治愈好转 10例 (10 0 % ) ;布加综合征手术治疗 10例 ,治愈好转 8例 (80 % ) ,手术后死亡 2例 (2 0 % )。保守治疗 10例 :2例布加综合征入院后死亡 ,自动出院 8例。　结论　儿童肝外型门脉高压症临床分型为肝前性和肝后性 ,以手术治疗为主 。Objective To study the clinical types and treatment of extrahepatic portal hypertension in children. Methods 30 patients were analyzed. 13 cases of the prehepatic portal hypertension(43.3%) and 17 cases of Budd-Chiari Syndrome(56.7%) were treated. 20 cases were treated operatively and 10 nonoperatively. Result 10 cases of the prehepatic portal hypertension and 8 cases of Budd-Chiari Syndrome were treated successfully by surgery. 2 cases of Budd-Chiari Syndrome died after operation. Of nonoperative treatment, 8 cases were cured, but 2 of Budd-Chiari Syndrome died. Conclusion Children's portal hypertension was classified as pre and post hepatic types. Surgical treatment is a good choice. Surgery is more effective for prehepatic portal hypertension than for Budd-Chiari Syndrome.

关 键 词：儿童 肝外型门脉高压症 诊断 治疗 临床分型 

分 类 号：R726.5[医药卫生—儿科]