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1979年2月至1984年3月,我们应用脾腔静脉分流术治疗37例肝硬化患者,其中血吸虫性肝硬化32例,其他肝硬化5例。年龄最小21岁,最大55岁,平均41岁。术前有上消化道出血者共15例,X线吞钡检查21例:食道静脉重度曲张15例(68.18％),中度曲张5例(22.73％),轻度曲张1例(4.55％)。全部病人均无黄疸,无肝昏迷病史,16例有腹水史。按1983年3月中华医学会外科学会《门脉高压症肝功能分级标准》,属Ⅰ级者11例(29.73%),Ⅱ级17例(45.95％),Ⅲ级9例(24.32％)。
From February 1979 to March 1984, we treated 37 cases of cirrhosis with splenic vena cava shunt, including 32 cases of schistosomiasis cirrhosis and 5 cases of other liver cirrhosis. Youngest 21 years old, maximum 55 years old, average 41 years old. There were 15 cases of upper gastrointestinal bleeding before operation and 21 cases of barium swallow by X-ray examination. Fifteen cases (68.18%) had severe esophageal varices, 5 cases (22.73%) had mild varices and 1 case (4.55%) mild varices . All patients had no jaundice, no history of hepatic coma, 16 cases had a history of ascites. According to the classification standard of liver function in patients with portal hypertension in March 1983, there were 11 cases (29.73%) with grade Ⅰ, 17 cases (45.95%) with grade Ⅱ and 9 cases (24.32%) with grade Ⅲ.