医学
经颈静脉肝内门体分流术
内科学
入射(几何)
肝功能
肝肾综合征
门静脉压
胃肠病学
肝硬化
肝性脑病
并发症
人口
门脉高压
环境卫生
光学
物理
作者
H Zhang,Jiajia Pan,Xiaofen Jiang,Jian-Hu Lin,Li-jie Lu,Ji Chu
标识
DOI:10.3760/cma.j.cn501113-20190716-00248
摘要
Transjugular intrahepatic portosystemic shunt (TIPS) can effectively reduce the portal venous pressure and relieve the clinical complications related to portal hypertension. However, hepatic encephalopathy (HE) is still the main complication post TIPS. Studies have shown that patients over 65 years old with liver function reserve in Child-Pugh grade C are the high-HE-risk group post TIPS, and early TIPS treatment can benefit the survival of these high-risk patients. In this study, TIPS was used to treat 60 cases aged > 65 years old and liver function reserve in Child-Pugh grade C (decompensated liver cirrhosis) with esophagogastric variceal bleeding. The clinical results of 1-year was observed and the porto systemic gradient (PSG) was evaluated. The relationship between the incidence of HE and the PSG of patients with and without HE were compared to evaluate the effect of PSG on the incidence of HE.
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