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目的进一步了解脾肺固定术后脾肺血流循环建立情况，以及临床疗效。方法１９９３年３月～１９９８年４月，采用脾肺固定术治疗６例门静脉高压症反复上消化道大出血的患儿。４例术后随访２～４年，经彩色超声多普勒、消化道钡餐及同位素等检查建立的脾肺之间血流分流情况。结果患儿症状缓解，原食道下端严重曲张的静脉逐渐减轻，且随时间延长而越明显，脾肺之间能维持有效血液分流，亦无肺部并发症出现，脾功能亢进症状缓解。结论脾肺固定术是治疗小儿门静脉高压的一种操作简便、安全有效的术式。
Objective To further understand the spleen and lung after spleen and lung blood flow circulation established, and clinical efficacy. Methods From March 1993 to April 1998, 6 cases of portal hypertension with repeated upper gastrointestinal hemorrhage were treated with spleen and lung fixation. Four cases were followed up for 2 to 4 years. The blood flow distribution between the spleen and the lung was examined by color Doppler ultrasound, barium meal and isotope of alimentary tract. Results The symptoms of children were relieved. The veins of the severe varicose veins in the lower esophageal tract gradually decreased and became more obvious with the prolongation of time. Effective splenic blood flow could be maintained between the spleen and lung. No pulmonary complications and hypersplenism relieved. Conclusion Spleen and lung fixation is a simple, safe and effective procedure for the treatment of pediatric portal hypertension.