Determining the optimal portal blood volume in a shunt before surgery in extrahepatic portal hypertension

被引：0
|
作者：
Vladimir, Yurchuk A. [1 ,2 ]
Natalia, Ranchaeva A. [1 ,2 ]
Galina, Yurchuk, V [3 ]
Ludmila, Mendeleeva Ya [3 ]
机构：
[1] Krasnoyarsk State Med Univ, Dept Pediat Surg Postgrad Course, Krasnoyarsk, Russia
[2] City Clin Hosp, 20 IS Berzon, Krasnoyarsk, Russia
[3] Krasnoyarsk State Med Univ, Dept Latin & Foreign Languages, Krasnoyarsk, Russia
来源：
INTERNATIONAL JOURNAL OF MEDICAL RESEARCH & HEALTH SCIENCES | 2016年 / 5卷 / 04期
关键词：
extrahepatic portal hypertension; hepatic blood flow volume; portosystemic shunt surgery; ultrasound examination;
D O I：
暂无
中图分类号：
R-3 [医学研究方法]; R3 [基础医学];
学科分类号：
1001 ;
摘要：
The aim of the study: To determine the necessary shunt diameter and assess the optimal portal blood volume in a shunt in children with extrahepatic portal hypertension before the portosystemic shunt surgery. Changes in the liver hemodynamics were studied in 81 children aged from 4 to 7 years with extrahepatic portal hypertension. We established that it is necessary to calculate the shunt diameter and the blood volume in a shunt in patients with extrahepatic portal hypertension before the portosystemic shunt surgery. It allows us to preserve the hepatic portal blood flow and effectively decrease the pressure in the portal system. Portosystemic shunt surgery in patients with extrahepatic portal hypertension performed in accordance with the individualized shunt volume significantly decreases portal pressure, preserves stable hepatic hemodynamics and prevents gastro-esophageal hemorrhage.
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收藏
页码：62 / 66
页数：5
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