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我院自1985年12月至1986年10月应用脾切除加胃冠状静脉栓塞木治疗肝硬化、门脉高压症8例。现将初步体会报告如下: 临床资料本组8例均为男性,年龄17—52岁,肝脏活检均诊断为慢性结节性肝硬化。6例病因系乙型肝炎。全部并发脾功能亢进,7例血小板减少,最少为5.7万/mm~3,5例白细胞下降,最低为2300/mm~3,同时红细胞均低于正常值。有上消化道出血史者5例,其中3例术前有大量出血。肝功能分级(中华医学会武汉会议肝功能分级试行标准)Ⅰ级3例,Ⅱ级2例,Ⅲ级3例。择期手术5例,急诊手术3例。6例术前做了食管钡餐造影或胃镜检
Our hospital from December 1985 to October 1986 application of splenectomy plus coronary thromboembolism in the treatment of cirrhosis and portal hypertension in 8 cases. Now the preliminary experience report is as follows: Clinical data of the group of 8 patients were male, aged 17-52 years, liver biopsy were diagnosed as chronic nodular cirrhosis. 6 cases of etiology of hepatitis B. All complicated with hypersplenism, 7 cases of thrombocytopenia, at least 57000 / mm ~ 3,5 cases of leukopenia, the lowest 2300 / mm ~ 3, while red blood cells were lower than normal. There are 5 cases of history of upper gastrointestinal bleeding, 3 cases of bleeding before surgery. Grading of liver function (Chinese Medical Association meeting of Wuhan grading standards for liver function) Ⅰ grade in 3 cases, Ⅱ grade in 2 cases, Ⅲ grade in 3 cases. Elective surgery in 5 cases, emergency surgery in 3 cases. 6 cases of preoperative esophageal barium meal or gastroscopy