CAJ | 학술논문

作者对23年间收治的77例小儿门脉高压症进行了随访.认为食道静脉曲张破裂出血是危及患儿生命的主要问题.针对出血的各种术式均未达到令人满意的效果.脾肾分流加冠状静脉结扎加大网膜腹膜后固定术联合手术可减少再出血的发生.
작자대23년간수치적77례소인문맥고압증진행료수방.인위식도정맥곡장파렬출혈시위급환인생명적주요문제.침대출혈적각충술식균미체도령인만의적효과.비신분류가관상정맥결찰가대망막복막후고정술연합수술가감소재출혈적발생.
Seventy-seven children with portal hypertention were admitted in 1965-1987.Intrahe patic and extrahepatic types were equal.Hematemesis end melena happened in 47(61.4%).28 crises came in with acute hemorrhage.Various degree of hypersplenism were found in all cases.9 kinds of operation were performed on 66 cases.66 cases was followed up for a mean of 9.7 years.In 59 operated patients,rebleeding occurred in 25(38.1%).of the 15 dead cases,8 died of esophageal bleeding.Splenorenal shunt is suitable for the patient who has bleeding before operation.Ligation of the coronary vein and retroperitoneal omentopexy had lowered the rebleedingrate to 20%.OPSI was also discussed in this paper.