目的:探讨门静脉高压症(Portal hypertension,PHT)合并胆石症的合理处理方式。方法:回顾分析2003年9月于2008年9月64例PHT合并胆石症患者不同方式手术治疗的结果。根据手术方式不同将64例患者分为三组。A组:仅行胆道手术(n=20);B组:在行PHT手术的同时行胆道手术(n=20);C组:在行PHT手术时对胆囊或胆道结石未作处理(n=24)。结果:死亡率A组10%,B组28.5%,C组4.3%。并发症:A组40%,B组70%,C组25%。结论:PHT合并胆石症无论仅行胆道手术或同期行PHT手术和胆道手术,手术死亡率和术后并发症均显著增加,尤以同期手术为明显。根据患者情况选择正确的手术方式,可有效降低手术风险。
Citation:
ZHOU Xiaohui,ZHEN Bo,GAN Xianfeng,et al. The Selection of Operation Pattern for Portal Hypertension PHT Combined Cholelithiasis. West China Medical Journal, 2009, 24(3): 612-616. doi:
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1. |
MOLLY SARKAR,PETER C.LAUSSEN,et al.Hemodynamic responses to etomidate on induction of anesthesia in pediatric patients[J].Anesth Analg,2005,101:645-6..
|
2. |
M.-A.LALLEMAND, C. LENTSCHENER. Bispectral index changes following etomidate induction of general anaesthesia and orotracheal intubation[J].British Journal of Anaesthesia,2003,91(3):341-6..
|
3. |
孙瑞元.定量药理学[M].北京:人民卫生出版社,2000:162-173..
|
4. |
姚泰,吴博威.生理学[M].北京:人民卫生出版社,2004:75-136..
|
5. |
LESLIE,KATE MBBS,et al.Influence of age on hypnotic requirement,bispectral index,and 95% spectral edge frequency associated with sedation Induced by sevoflurane[J].Anesthesiology,1995,81:1269-1274..
|
6. |
AVIDAN MS,BURNSIDE BA,et al.Anesthesia awareness and the bispectral index[J].New England Journal of Medicine,2008,358(11):1097-108..
|
7. |
LEHMANN A,KARZAU J,BOLDT J,et al.Bispectral indexguided anesthesia in patients undergoing aortocoronary bypass grafting [J].Anesth Analg,2003,96:336-43..
|
8. |
KAZUNORI YAMASHITA,YOSHIAKI TERAO,et al.Agedependent relationship between bispectral index and sedation level[J].Journal of Clinical Anesthesia,2008,20:492-495..
|
9. |
MOLLY SARKAR,PETER C.LAUSSEN,et al.Hemodynamic responses to etomidate on induction of anesthesia in pediatric patients[J].Anesth Analg,2005,101:645-6..
|
- 1. MOLLY SARKAR,PETER C.LAUSSEN,et al.Hemodynamic responses to etomidate on induction of anesthesia in pediatric patients[J].Anesth Analg,2005,101:645-6..
- 2. M.-A.LALLEMAND, C. LENTSCHENER. Bispectral index changes following etomidate induction of general anaesthesia and orotracheal intubation[J].British Journal of Anaesthesia,2003,91(3):341-6..
- 3. 孙瑞元.定量药理学[M].北京:人民卫生出版社,2000:162-173..
- 4. 姚泰,吴博威.生理学[M].北京:人民卫生出版社,2004:75-136..
- 5. LESLIE,KATE MBBS,et al.Influence of age on hypnotic requirement,bispectral index,and 95% spectral edge frequency associated with sedation Induced by sevoflurane[J].Anesthesiology,1995,81:1269-1274..
- 6. AVIDAN MS,BURNSIDE BA,et al.Anesthesia awareness and the bispectral index[J].New England Journal of Medicine,2008,358(11):1097-108..
- 7. LEHMANN A,KARZAU J,BOLDT J,et al.Bispectral indexguided anesthesia in patients undergoing aortocoronary bypass grafting [J].Anesth Analg,2003,96:336-43..
- 8. KAZUNORI YAMASHITA,YOSHIAKI TERAO,et al.Agedependent relationship between bispectral index and sedation level[J].Journal of Clinical Anesthesia,2008,20:492-495..
- 9. MOLLY SARKAR,PETER C.LAUSSEN,et al.Hemodynamic responses to etomidate on induction of anesthesia in pediatric patients[J].Anesth Analg,2005,101:645-6..