中华小儿外科杂志
中華小兒外科雜誌
중화소인외과잡지
CHINESE JOURNAL OF PEDIATRIC SURGERY
1986年
2期
68-70
,共3页
陶文芳%王凤兰%冯家钧%胡佐民
陶文芳%王鳳蘭%馮傢鈞%鬍佐民
도문방%왕봉란%풍가균%호좌민
Extrahepatic portal hypertension in children is not uncommon.The majority of cases of portal hypertension occurs secondary to extrahepatic block caused by portal vein thrombosis and umbilical infection.There is evidence of a congenital basis in portal vein obstruction and vascular anomalies.During a period of 27 years,1958-1985,17 children (10 males,7 females) were treated for extrahepatic portal hypertension in our institute,14 of them by certain kind of portocaval shunt and 11 of them were followed-up for 4-20 years.Two of these patients had recurrent episodes of bleeding but were readily controlled.Clinically,the children were normal in development.There were no instance of liver enlargement and liver function impairment.The first symptom was either acute upper gastraintes-tinal bleeding or splenomegaly.It is our opinion that results of shunt operations were satisfactory,but shunt operation should not be done as an emergency procedure.
