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yxfbbiedtj · Wysłany: Czw 4:02, 10 Mar 2011

Tianjin Review of surgical treatment of portal hypertension

When conservative treatment were given. In operation by the non-treatment, some patients with aseptic necrosis or fluid form. If there is no secondary infection, aseptic necrosis or fluid can be absorbed gradually recovered. In case of secondary infection, requiring surgery. Secondary infection or abscess formation are, no surgery, almost l 【】 (】% died, so it is an absolute indication for surgery. With or without organ sad dried up, should be timely surgery. Containing abscess hospital caught on the line 6l · swollen drainage of pus, and the remaining infection with debridement plus Small omentum pancreatic body,[link widoczny dla zalogowanych], pancreatic bed multi-root diameter pipe irrigation; I flow, fluid every day of 1o000ml. jejunal nutrition surgery made simultaneously fistula still I: heat or re-heat to be looking for further CT guided puncture infection focus. If identified as biliary pancreatitis should be based on the degree of bile duct lesions determine the timing of surgery and the way short, is a severe acute pancreatitis I kind of Ba risk disease, more complications and death: I rate each of the acute abdomen in pancreatic and peripancreatic necrotic tissue infections and complications due to multiple organ failure lead to death of the foot! to reason. archery this, if effective prevention and treatment of secondary infection. will further decline in the mortality rate of acute pancreatitis. Tianjin Review of surgical treatment of portal hypertension rights Huang Yuejin Chen Zhou Yang Shi Jin Jiang Tao Lu Hao Mingli the Chuan Guan Yang Zhou Jing Liu a wash in the treatment Zhao Liming (Tianjinyida First Affiliated Central Hospital 3130192) portal hypertension in northern China mostly the type of post-necrotic cirrhosis. off Tianjin region is no exception, the main pathological changes in liver cells, hepatic lobule, the resulting high-pressure door spines Department of obstruction caused by sinus disease. Quannei Wai major surgery advocated by scholars can be divided into two groups: - a sub-genre, one-off genre. end of 1986, Professor Huang Yuequan proposed determination under conditions of liver hemodynamics in portal hypertension M choose disease treatment,[link widoczny dla zalogowanych], cure of 63 patients were observed effect is remarkable. 1993-1994 shad white】『fI cross veins in 42 cases of hypertension in 21 cases with abdominal Wing and bleeding esophageal varices jugular static effect static spine intrahepatic portosystemic shunt (TIPSS) method of treatment, excellent results. 1994 5H on 1 side r with end-stage liver cirrhosis underwent surgery successfully under the pile moved. for the treatment of portal hypertension in patients offer D saddle for the complete ancient text. Following Huang】 963 in 1947 to the General Hospital of Tianjin received 208 cases of cirrhosis the rule of Technology Tianjin Central Hospital of Surgery,[link widoczny dla zalogowanych], the first since the 1921 Code of revenue in 1994, Fu cirrhosis portal hypertensive patients with 438 cases. Total 646 side. RMB asked during the depression 2 in the treatment side is willing to be different. basically represents the Tianjin area of treatment of portal hypertension development level and moving chi.'re different periods on the treatment of patients with portal hypertension Zhu satisfied that such conditions F: 11947 ~ 1963 years. Professor Huang Yuequan surgical Yin Jian Hao CPC 208 patients received liver cirrhosis with portal hypertension, of whom 174 cases of splenectomy, 34 patients with various shunt. splenectomy in 3 years survival rate of 90%, 5 years survival rate was 86%,[link widoczny dla zalogowanych], 70% survival rate over 10 years. splenorenal portosystemic points limb Sui deposit rate in 3 years, t (I995-02-10 Received) 84%, 5 years of E rate of 647%. 2I97I ~ 1980 years, 64 cases of splenectomy patients, 174% 5-year survival is only 10-year survival rate of 45%. 3.1981 ~ I983 year of implementation of the various types of surgery to ten break points with the swirling 14 cases of disease 』song to teach the best fruit, no long-term forward Hj limb blood of those who died, received the small I-1> 2 results. 41986 - I992 63 cases of portal hypertension were treated cancer,[link widoczny dla zalogowanych], according to Professor Huang Yuequan Lu mediated hemodynamic changes by choice of treatment side rear and portal blood flow> 75Oml/thin in 7 sub-side from the small mouth swirling restrictive long-term survival rate was 85.7% in the treatment. portal blood flow of 750 - 500m | / min were 31 cases devascularization. expired survival 913%. portal blood flow <500mJ/rain conservative treatment of 25 patients who died near 333%. on the theory, this treatment method is a temporary Lian j . You can follow the program. but still need more cases and longer observation of the ancient findings. 5J993 - I994 total of 42 patients with portal hypertension were treated on one side of the purposes of rT1PSS method 2I cure. again I ask patients with end implementation of the small cases H1 graft in situ, have received recent treatment r. long-term effects need to be} d real clinical practice. But to cure the primary lesion and should be accounted for Lu Ping-I}} j guided liver transplantation f James developed the disease 』liver transplantation as an important indication, in the hair vessels -1] countries should exercise discretion. f_995-01_25 closing out J