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经颈静脉肝内门静脉分流术(Transjugular Intrahepatic Portalsystemic Shunts,TIPS)是放射介入治疗门脉高压症的一项新技术。在防止上消化道大出血、治疗顽固性腹水及肝移植方面具有重要价值。该技术并发症的防治,是其成功的重要保证。现就我院两例实施TIPS患者如何防治常见并发症的体会报告如下。 病例介绍 例1,女,37岁。主因腹胀2年伴间断下肢浮肿下1994年4月9日入院。既往肝硬化病史3年,间断呕血3次,每次约1000ml,曾两次进食道曲张静脉圈套结扎治疗。查体:贫血貌,颜面浮肿。腹水征阳
Transjugular Intrahepatic Portalsystemic Shunts (TIPS) is a new technique for interventional therapy of portal hypertension. In the prevention of upper gastrointestinal bleeding, the treatment of intractable ascites and liver transplantation has an important value. The prevention and treatment of the technical complications is an important guarantee for its success. Are two cases of hospital implementation TIPS patients how to prevent common complications of the report are as follows. Case introduction example 1, female, 37 years old. Mainly due to bloating 2 years with intermittent lower extremity edema April 9, 1994 admission. Past history of cirrhosis in 3 years, intermittent hematemesis 3 times, each about 1000ml, had twice consumption of arcuata varicose vein ligation treatment. Physical examination: anemia appearance, facial edema. Ascites Zheng Yang