摘要
目的:探讨小儿肝外性门静脉高压症临床特点及不同病理类型手术方式选择。方法:观察小儿门静脉海绵样变性及布加综合征临床表现,术后改善情况及脾切除风险度。结果:门静脉海绵样变性行脾切断流术,24例痊愈,6例再出血,但出血量明显减少,术后未观察到严重感染情况;布加综合征行脾肺固定术,5例症状改善,2例未改善,2例死亡。结论:小儿时期,对于门静脉海绵样变性宜选择脾切断流术;对于布加综合征,脾肺固定术疗效不可靠。
Objective: To explore the clinical characteristics and make a better choice of surgical operative styles for no - hep-atogenous portal hypertention in children. Methods: To investigate the clinical manifestions and influence of splenec tomy on the growth of children with portal sponginess and Budd - Chian' s syndrome in the earlier and later perioperative period. Results: Splenectomy for portal sponginess, 24 cases cured, 6cases re - bleeding, no serious infection occurred. Spleno - lung shunt for Budd - Chiarr' s syndrome, 5 cases cured, 2 cases unchanged, 2 cases dead. Conclusion: Splenectomy is suitable for portal sponginess, but spleno - lung shunt not satisfactory for Budd - Chiarr' s syndrome.
出处
《河南外科学杂志》
2002年第1期9-10,共2页
Henan Journal of Surgery
