查詢結果分析
相關文獻
- Non-Shunting Procedures in the Management of Patients with Bleeding Esophogeal Varices at Emergency Condition
- A Randomized Controlled Study of Triglycyl-Vasopressin and Vasopressin Plus Nitroglycerin in the Control of Acute Esophageal Variceal Hemorrhage
- Life-Threatening Esophageal Variceal Bleeding Due to Proteins C, S Deficiency Requiring Esophagogastric Devascularization: A Case Report
- Torsion of a Follopian Tubal Cyst Following Pomeroy Sterilization: A Case Report
- Biochemical Events Associated with Ligation of the Common Bile Duct in Wistar Rats
- 食道靜脈曲張出血之預防與處置
- 食道靜脈曲張出血病例介紹及用藥評估
- 急性細菌性心包膜炎併發於內視鏡注射Histoacryl治療急性食道靜脈曲張出血:個例報告
- 胃食道靜脈曲張出血的預防與治療
- 腹腔鏡精索靜脈曲張結紮手術之全期護理
頁籤選單縮合
題名 | Non-Shunting Procedures in the Management of Patients with Bleeding Esophogeal Varices at Emergency Condition=使用結紮手術於食道靜脈曲張出血之急診治療 |
---|---|
作者姓名(中文) | 李伯皇; 李治學; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 14:4 1981.12[民70.12] |
頁次 | 頁338-345 |
關鍵詞 | 結紮手術; 食道靜脈曲張出血; 急診治療; |
語文 | 英文(English) |
中文摘要 | 自民國66年3月至70年1月在國立台灣大學科院附設醫院對11例因食道靜脈曲張出血無法控制之患者行緊急手術。採用胃內曲張血管結紮,胃近端部血管結紮及脾臟切除術。在11例中有3例於術後因肝功能衰竭不治,究其原因,乃其出血後到開刀時間拖延較久(24.7±15.7天)且肝功能叫B.S.P.代表時亦差(44±14.7%)。存活的8例,其決定其開刀之時間較早(8.3±9.0天),同時肝功能檢查亦較佳(B.S.P..19±10.5%)。追踪過程中除一例於術後37個月因合併肝癌死亡外,其他各例均未再出血。吾人以為這種不用繞道手術而富接行結紮的手術是一種緊急處置可行的方式。因手術時間短,且能有效止血,同時引起肝性昏迷之機會較少,因此吾人主張在急診時宜當機立斷,在未引起肝功能衰竭前,施行這種手術,並建議在48小時内,如仍無法控制出血時手術切勿再拖延時間,徒增合併症之機會。本文將就我們之病例手術之結果提出檢討。 |
英文摘要 | During the period between March 1977 and January 1981 eleven patients with uncontrollable bleeding due to ruptured esophageal varices were treated on the basis of emergency condition at the Department of Surgery, NationaI Taiwan University HospitaI. Ligation of varices, proximal gastric devascularization and splenectomy were performed. After opemtion, three of the eleven patients died due to hepatic failure. Delayed decision for operation (24.7±15.7 days) and poorer liver reserve (B.S.P. retension, 44±14.7%) were considered to be the main causes of death. All the survivors underwent opemtion earlier (interval between initial bleeding and opemtion, 8.3±9.0 days) with better liver reserve (B.S.P. retension, 19±10.5%). No recurrent bleeding and encephalopathy were experienced in survival group during the follow-up period. Non-shunting procedures like ligation of esophageal varices and proximal gastric devascularization are feasible to treat the bleeding esophageal varices at emergency condition. Non-shunting procedures can accumtely cease bleeding, require shorter opemtion time, with less opemtive mortality and morbidity. It is emphasized that opemtion should be performed as soon as possible, within 48 hours, before the liver function deteriorated once intractable bleeding occurred. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。