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我院1986年4～7月间,采用胃冠状静脉栓塞术治疗门脉高压症引起食道、胃底静脉曲张破裂出血5例,静脉曲张6例,现报告如下。临床资科本组男性8例,女性3例,平均年龄41岁。肝功能分级:Ⅰ级3例,Ⅱ级3例,Ⅲ级5例。术前X线钡餐食道静脉曲张Ⅰ度4例,Ⅱ度3例,Ⅲ度4例。术中肝活检,病理诊断均为肝炎后肝硬化,其中7例为活动性肝硬化(均有不同程度的肝细胞坏死),2例合并肝癌(原发性)。大出血急诊手术5例,其中肝功Ⅰ级1例,Ⅲ级4例。Ⅲ级中死亡2例(2/5)。本组病人同时行脾切除8例,脾动脉结扎3例。
Our hospital from April to July 1986, the use of gastric coronary vein embolization in the treatment of portal hypertension caused esophageal and gastric varices bleeding in 5 cases, varicose veins in 6 cases, are as follows. Clinical data This group of 8 males and 3 females, mean age 41 years. Liver function grading: Ⅰ grade in 3 cases, Ⅱ grade in 3 cases, Ⅲ grade in 5 cases. Preoperative radiography barium meal esophageal varices Ⅰ degree in 4 cases, Ⅱ degree in 3 cases, Ⅲ degree in 4 cases. Intraoperative liver biopsy, pathological diagnosis of posthepatitic cirrhosis, of which 7 cases of active cirrhosis (both with varying degrees of necrosis of liver cells), 2 cases of hepatocellular carcinoma (primary). There were 5 cases of major bleeding emergency surgery, including 1 case of grade Ⅰ liver function and 4 cases of grade Ⅲ. Grade III death in 2 cases (2/5). This group of patients underwent splenectomy in 8 cases, 3 cases of splenic artery ligation.