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脉高压胃底曲张静脉破裂致上消化道大出血在我院行急诊手术。术中发现腹腔内无腹水,肝脏不大,表面散在大小不等结节,脾脏充血肿大,胃底周围有明显曲张静脉,切开胃前壁发现胃底及食道下段静脉曲张,以胃底为甚,在胃底近赏门后壁处有一曲张静脉破裂,呈活动性出血。故行脾切除、胃底曲张静脉结扎及胃底周围静脉离断术,术后痊愈出院。1972年患者又因便血头昏再入院。查体:血压11/skPa,脉搏120次/分,巩膜无黄染,无腹胀,肝脏不大,腹水
High blood pressure gastric varices caused by upper gastrointestinal bleeding in our hospital emergency surgery. Abdominal ascites was found intraoperatively, the liver was not large, the surface scattered in different sizes nodules, splenic congestion and enlargement, gastric varicose veins were obvious around the anterior gastric wall and the esophagus found in the lower varicose veins to the stomach To be more, near the end of the stomach at the bottom of the door there is a varicose vein rupture, was active bleeding. Therefore, the splenectomy, gastric varices ligation and gastric peripheral venous disconnection, postoperative recovery. In 1972, he was admitted to hospital again due to blood in the stool. Physical examination: blood pressure 11 / skPa, pulse 120 beats / min, sclera no yellow dye, no bloating, little liver, ascites