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我们采用断流术、保留迷走神经主干、幽门成形,治疗门脉高压症合并上消化道出血86例,效果满意。报告如下:1临床资料1.1一般资料:我院于1981年5月～1990年10月,收治了门脉高压症合并上消化道出血86例,男55例,女31侧,年龄27～58岁,平均47.5岁,48例为首次出血,26例以往有2次大出血史,12例曾有3次大出血史。肝功能分级(按1983年武汉会议分级),Ⅰ级6例,Ⅱ级12例,Ⅲ级68例。术前有食管检查资料(X线钡餐与胃镜)32例,其中食管静脉曲张轻度8例,中度曲张13例,重度曲张11例。全组均为第一次手术,均经手术探查发现肝脏表面有弥漫性小结节,程度不一。肝脏病
We use the closure of the vagus nerve, trunk, pyloric formation, treatment of portal hypertension with upper gastrointestinal bleeding in 86 cases, the results are satisfactory. The report is as follows: 1 Clinical data 1.1 General Information: Our hospital in May 1981 ~ October 1990, admitted to the portal hypertension with upper gastrointestinal bleeding in 86 cases, 55 males and 31 females, aged 27 to 58 years , An average of 47.5 years old, 48 cases of bleeding for the first time, 26 cases of past history of 2 major bleeding, 12 cases had 3 major bleeding history. Grading of liver function (according to the 1983 Wuhan meeting grading), Ⅰ grade 6 cases, Ⅱ grade 12 cases, Ⅲ grade 68 cases. Preoperative esophageal examination data (X-ray barium meal and endoscopy) 32 cases, of which mild esophageal varicose 8 cases, moderate varicose 13 cases, severe varicose 11 cases. The whole group were the first surgery, were found by surgical exploration of diffuse small nodules on the liver surface, varying degrees. Liver disease