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据报道,难治性腹水患者接受愎腔静脉分流术后,有9～26%出现食管静脉曲张破裂出血,尤其在术后早期。然而从未有过分流后门静脉压力动态变化的报道。为此,本研究对5例重度腹水的酒精性肝硬化患者,从术前到术后20h 测定了肝静脉嵌入压(WHV)、右房压(RA)、肺毛细血管嵌入压(PCW),心脏指数(CI)和血浆容量(PV)。术后48h 内每隔1h 测定1次,以后每4h 测1次,直至术后20h。3例存活病人,术后10～20个月反复测定肝内和/或肝静脉嵌入压。
It has been reported that patients with refractory ascites have a history of esophageal variceal bleeding in 9-26% of cases, especially in the early postoperative period. However, there have been no reports of dynamic changes in portal vein pressure after shunting. In this study, five patients with severe ascites alcoholic cirrhosis from preoperative to postoperative 20h measured hepatic vein embedding pressure (WHV), right atrial pressure (RA), pulmonary capillary embedding pressure (PCW) Cardiac index (CI) and plasma volume (PV). Within 48h after surgery every 1h determination 1, every 4h after testing 1, until after 20h. Three surviving patients, 10 to 20 months after the repeated determination of intrahepatic and / or hepatic vein embedding pressure.