Zhang Jinshan,Li Long.Recent advances in surgery for portal hypertension in children[J].Journal of Clinical Pediatric Surgery,2019,18(12):989-993.[doi:10.3969/j.issn.1671-6353.2019.12.001]
小儿门静脉高压手术治疗新进展
- Title:
- Recent advances in surgery for portal hypertension in children
- Keywords:
- Hypertension; Portal; Surgical Procedures; Operative; Child
- 分类号:
- R726.1;R657.3+4;R544.1
- 摘要:
- 门静脉高压是导致小儿上消化道出血的重要原因之一，常见的小儿门静脉高压分为肝内型门静脉高压和肝外型门静脉高压。对于门静脉高压引发的上消化道出血通常首选止血、输血等保守治疗，但保守治疗通常仅对当时的症状有所缓解，并不能改变门静脉高压状态，因此上消化道出血复发是不可避免的。为了预防和治疗上消化道出血和脾功能亢进，手术是唯一有效的治疗方法。但有不少小儿外科医生对其发病机制和治疗原则不甚清楚。因此，本文总结小儿门静脉高压的手术治疗经验和既往研究，对其治疗的最新进展进行评价。
- Abstract:
- Portal hypertension is one of the important causes of upper gastrointestinal hemorrhage in children.Portal hypertension generally involves the intra-and extra-hepatic portal hypertension in children.For the upper gastrointestinal hemorrhage,conservative treatment (such as hemostasis and blood transfusion) is usually the first choice,but conservative treatment fails torelivingthe portal hypertension.In order to treat portal hypertension effectively,operation is the only method.However,many pediatric surgeons are still unclear about its pathogenesis and treatment principles.Therefore,we summarize our experience and previous studies of surgical treatment for portal hypertension in children,and evaluate the latest progress in surgical treatment.
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备注/Memo
收稿日期:2019-09-10。
基金项目:国家自然科学基金（编号：81770595）
通讯作者:李龙,Email:lilong23@126.com