Clinical care of portal hypertension.docVIP

 PAGE \* MERGEFORMAT 15 Clinical care of portal hypertension [Abstract] portal hypertension portal vein blood flow is blocked due to blood stasis caused by increased pressure portal venous system, the clinical syndrome, the earliest pathological changes of congestive spleen, liver, blood, RBC, and thrombocytopenia. Excessive force when the patient such as severe coughing, sneezing, nausea, vomiting, hard bowel movements, weight and other factors could surge in intra-abdominal pressure, resulting in a gastric esophageal varices, rupture, hemorrhage, due to poor liver function, so that increased intra-abdominal fluid, showing ascites, portal hypertension. The main purpose of surgical treatment of plantar foot level is a type of esophageal and gastric variceal bleeding due to lift and improve splenomegaly, hypersplenism and refractory ascites, surgery on the body of patients invasive large, high incidence of postoperative complications, attention should be paid. [Keywords:] portal hypertension Care [Clinical manifestations] Portal hypertension mainly for the following four aspects. (A) splenomegaly and splenic hyperfunction Early soft, activities, late due to fibrous tissue proliferation and the establishment of collateral circulation, splenomegaly limited mobility and fabric stiffener. As hypersplenism, peripheral red blood cells, white blood cell and platelet counts decreased, anemia and bleeding tendency. (B) of the door - vena cava communicating branch varicose Mainly as hematemesis and melena, is the most dangerous complications of bleeding the first time the mortality rate of up to 25%. Sometimes jet-like, hemorrhagic shock can occur. Black after it was associated with symptoms of vomiting blood. Accompanied by more damage to liver function and form a vicious cycle, it is often within 1-2 years, more than half of patients re-bleeding. (C) ascites Mainly related to liver damage, hypoalbuminemia related, there may be sh