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.
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
