论文部分内容阅读
1974年LeVeen首先报道了腹腔静脉转流治疗肝硬化腹水和癌性腹水的效果,发现伴有一定的严重并发症.作者进一步比较这一分流术在治疗两类不同腹水病例中的病发率和死亡率.材料和方法:1976～1982年间作者为24例肝硬化腹水和31例癌性腹水患者施行了60次腹腔静脉分流术,分析其疗效和并发症.凡属在住院期间(不论长短)死亡者均列为手术死亡.肝硬化病例多数由于酒精中毒所致,平均年龄为57.2岁(38～80岁),有腹水症状平均11周,10例有呼吸困难,7例有疝.癌性腹水病例系弥漫性恶性肿瘤所致,多数为卵巢、乳房和胃肠道癌肿,平均年龄为57.5岁(37～77岁),主诉腹水症状平均6.5周,14例有呼吸困难,但均无疝.总之,两组均属晚期病例.结果:两组病例术前的血液和生化检查,包括肝功能试验在内,无明显差别.术后各组的检查结果除有关
In 1974, LeVeen first reported the effect of celiac venous bypass in the treatment of cirrhotic ascites and cancerous ascites, and was found to have some serious complications. The authors further compared the incidence of this shunt in the treatment of two different types of ascites Mortality rate.Materials and Methods: Sixty-four patients with cirrhosis of the liver and 31 patients with cancerous ascites were subjected to 60 celiac venous shunts from 1976 to 1982.All the patients were treated during hospitalization (regardless of length) The deaths were classified as surgical death. Most cases of liver cirrhosis due to alcoholism, the average age of 57.2 years (38 to 80 years), ascites symptoms average 11 weeks, 10 cases of dyspnea, 7 cases of hernia. The cases of ascites due to diffuse malignant tumors, the majority of ovarian, breast and gastrointestinal cancer, the average age of 57.5 years (37 to 77 years), complained of ascites symptoms average 6.5 weeks, 14 cases of dyspnea, but none In conclusion, both groups were late cases.Results: There was no significant difference in preoperative blood and biochemical tests, including liver function tests between the two groups.In addition to the results of the examination after each group