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TIPSS 治疗肝硬化门脉高压11例。全组病例均有不同程度的腹水,其中9例在入院前有反复上消化道出血史。手术成功10例,失败1例。2例于 TIPSS 术后1月并发肝性脑病,2例于术后1～5月再次上消化道出血,1例术后腹腔内出血。肝性脑病的原因与分流量大小和术前肝功能状态有关,支架应建立在门静脉主干旁左右分支为宜。本文还介绍了 TIPSS 术前准备和术后并发症的预防和治疗。
TIPSS treatment of cirrhosis and portal hypertension in 11 cases. All patients had different degrees of ascites, including 9 cases of repeated upper gastrointestinal bleeding before admission. Surgery in 10 cases, failure in 1 case. Two cases were complicated with hepatic encephalopathy in January after TIPSS, two cases of upper gastrointestinal bleeding again from 1 month to 5 months after operation, and one case of postoperative intraperitoneal hemorrhage. The causes of hepatic encephalopathy and the size of the shunt and the status of preoperative liver function, the stent should be established around the main branch of the portal vein is appropriate. This article also describes the TIPSS preoperative preparation and postoperative complications prevention and treatment.