门脉高压课件.ppt

1、门脉高压冠状V.S+D 90.nutritional statePostoperative factors Retroperitoneal fibrosis4 82.Peritoneum16脾-肾分流 8.Colon24poor3择期12%腹壁下V.脑病 -I II胃食道静脉曲张出血的外科治疗吻合术（Warrens术）Size of varicesSmall or none Medium LargeSize of varices食道静脉曲张的手术选择hepatoencephalopathynone1Size of varices正常门静脉系统的局解剖(11%)(23%)(33%)直肠下V.no

2、ne1PancreatitisThrombophlebitis migrans腹壁下V.difficult controlled3胃短V.Sugiura 术 12%Sugiura 1973Aetiological factors in extrahepatic portal venous hypertension in adults.S+D 90.Sites of Ectopic VaricesNumber of Reported Cases正常门静脉系统的局解剖正常门静脉系统的局解剖small or nonemcdium large13/519/4111/23 0-492/347/3913/

3、38 0-60/3414/249/17 1-860/160/2412/60 1215/135 30/128 45/138(11)(23)(33)size of varicesfollow up(months)Liver Function(Childs)ClassificationBilirubin3mg3albumin3.5mg13-3.5mg23.0mg3ascitesnone1 easily controlled2difficult controlled3hepatoencephalopathynone1moderate2severe3nutritional stategood1moderate2poor3A5-8B9-11C12-15S+D 90.3 85.4 82.14 Chines J surg 2000;38(2):85