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患者 男 ,16岁。 10年前因门静脉高压 ,脾功能亢进 ,巨脾 ,ＩＴＰ而行全脾切除术。 4年前又出现呕血 ,诊断为门静脉高压 ,行肠系膜上静脉与下腔静脉“Ｈ”型搭桥手术 ,植入一直径5ｍｍ人造血管。术后门脉测压下降 12ｍｍＨｇ ,呕血停止。最近2周又开始出现呕血 ,准备再次手术
Male patient, 16 years old. 10 years ago due to portal hypertension, hypersplenism, splenomegaly, ITP and splenectomy. 4 years ago, hematemesis occurred again, the diagnosis of portal hypertension, the superior mesenteric vein and inferior vena cava “H” bypass surgery, implanted a diameter of 5mm artificial blood vessels. Postoperative portal pressure drop 12mmHg, vomiting stopped. The last 2 weeks began to vomit blood, ready to re-surgery