Emergency disconnection in the treatment of portal hypertension and cases of upper gastrointestinal bleeding.docVIP

 PAGE \* MERGEFORMAT 12 Emergency disconnection in the treatment of portal hypertension and cases of upper gastrointestinal bleeding [Keywords:] Portal hypertension; upper gastrointestinal bleeding; emergency operation Putian City, the first hospital for a department from January 1996 to January 2006, emergency line breaking of pericardial blood vessels and the treatment of esophageal variceal bleeding in patients with 85 cases. Efficacy satisfactory, are as follows. 1 Data and methods 1.1 General information on this group a total of 85 cases, 59 cases were male and 26 female patients aged 25 to 73 years, mean 46 years .85 cases were patients with acute upper gastrointestinal bleeding, there are different levels of performance of portal hypertension, such as the spleen large, hypersplenism, and ascites. which 63 cases the first bleeding, and the remaining 22 patients had past history of similar bleeding in patients with a history of .85 confirmed by surgical biopsy of liver cirrhosis. One obvious past history of hepatitis in 56 cases, the most history of hepatitis 25 years, a minimum of 7 years. but no history of hepatitis HBsAg positive in 29 cases. preoperative endoscopy or barium meal showed esophageal and gastric varices. press conference in Wuhan in 1983 grading criteria: grade , 31 cases of liver function, Grade 38 cases, grade in 16 cases. 1.2 treatment of 85 cases in this group are conservative medical treatment fails and underwent emergency surgery. 67 cases of bleeding within 24 h after surgery, 18 cases of bleeding 24 h after surgery. Splenectomy and pericardial vascular surgery 77 cases from the breaking . line of splenic artery ligation and pericardial blood vessel breaking 8 patients. 2 Results 2.1 The treatment results of the group 3 patients died. 1 case of 72-year-old patient 3 days after surgery due to coronary heart disease by frequent premature ventricular contractions .2 patients died due to liver failure and death ca