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远端脾肾静脉(不切脾)吻合术(Warren手术),是一种选择性(不完全性)门体静脉分流手术,可保留一定数量入肝的门静脉血流,减少代谢性肝性脑病。我们自1976年11月～1978年10月对肝炎后肝硬变及血吸虫病肝硬变并发食管、胃底曲张静脉破裂大出血13例作此手术,初步报导如下: 一般资料(附表) 肝炎后肝硬变4例,血吸虫病肝硬变9例。男:女为10:3。年龄:29～58岁。出血史:1～6次,最大出血量(一次)达2000毫升。脾肿大:Ⅱ级以上10例。有脾亢现象10例。X线大多有食管静脉曲张。按Child分类:10例属A类,3例属B类。急症手术1例,择期手术12例。手术方式:Warren Ⅰ式10例,Ⅱ式1例,改良式脾肾桥式分流2例,同时作
Distal splenorenal (anastomosis without spleen) surgery (Warren procedure) is a selective (incomplete) portal vein shunt that preserves a limited number of portal venous flow into the liver and reduces metabolic hepatic encephalopathy . We from November 1976 to October 1978 hepatitis cirrhosis and schistosomiasis cirrhosis complicated by esophageal and variceal bleeding in the thirteen cases of this operation, the initial report is as follows: General Information (Schedule) after hepatitis 4 cases of cirrhosis, schistosomiasis cirrhosis in 9 cases. Male: Female 10: 3. Age: 29 ~ 58 years old. History of bleeding: 1 to 6 times, the maximum amount of bleeding (once) up to 2000 ml. Splenomegaly: Ⅱ grade above 10 cases. There are 10 cases of hypersplenism. Most X-ray esophageal varices. According to Child classification: 10 cases belong to A class, 3 cases belong to B class. Emergency surgery in 1 case, elective surgery in 12 cases. Surgical methods: Warren Ⅰ 10 cases, Ⅱ 1 cases, modified spleen and kidney bridge shunt in 2 cases, at the same time as