查询词典 varices

In patients without varices, treatment with nonselective beta-blockers is not recommended because they do not prevent the development of varices and are associated with side effects.

对没有静脉曲张的病人使用非选择性beta受体阻滞剂是不推荐的，他们并没有发生曲张因而不必去承受那些副反应。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果：①术后一过性发热62例(84.9%)，腹痛腹胀48例(65.8%)是介入断流术常见的并发症，未发生严重并发症；②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%；显示食管静脉曲张主要由胃冠状静脉供血，胃静脉曲张主要由胃短静脉和胃后静脉供血；胃冠状静脉大多数为单支，少数为双支，其双支的出现率分别为30.57%；胃冠状静脉开口于门静脉主干的为52.06%，开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%；③发现胃肾分流3例，脾肾分流7例、腹膜后门腔静脉分流2例，以及CTA检查发现脐静脉开放者2例；④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa，前后比较存在显著性差异；11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ，前后比较发现首次术前与术后存在显著性差异，首次术前和复发出血术前门静脉压力比较无显著性差异；⑤介入术后复查曲张静脉转归基本消失54例，轻度19例；⑥Spearman相关分析和Logistic多因素回归分析，肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响；Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响；⑦COX回归分析，门体分流和曲张静脉转归两个因素对术后生存有影响；⑧术后随访6-70月，1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%；结论：介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点，可以快速直接控制曲张静脉出血而门静脉压力无显著增高，保证了肝脏灌注；与外科分流术相比适应证广、损伤轻、术后恢复快，不易遗漏曲张静脉；肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响；门脉高压性胃病对复发出血时间有影响；门体分流和曲张静脉转归对生存时间有影响。

Results:Spiral CT findings included dilated paraumbilical vein (n=12), paragallbladder varices (n=8), establishment of splenorenal collaterals (n=9), retroperitoneal varices (n=10), esophageal varices (n=24), paraesophageal varices (n=10), dilated azygos (n=15), paragastric varices (n=27) and dilated left renal vein (n=11). In 19 patients with portal hypertension, MIP angiography demonstrated dilatation of portal veins 1-2 grade branches, and thinness, distortion, stiffness of smaller branches.

结果：螺旋CT显示脐周静脉曲张12例，胆囊周围静脉曲张8例，脾肾静脉侧支开放9例，腹膜后静脉曲张10例，食管静脉曲张24例，食管周围静脉曲张10例，奇静脉扩大15例，胃周静脉曲张27例，左肾静脉扩大11例；MIP显示门脉1-2级分支增粗，2级以下分支细小、扭曲、僵直19例。

Portal braches of 4-5 orders were found in all 19 cases of Child Grade I, with esophageal varices and paragastric varices and no fistula of hepatic artety-portal vein or portal vein embolus; Portal braches of 3-4 orders were displayed in all 16 cases of Child Grade II, besides esophageal varices and paragastric varices, cirsomphalos, retroperitoneal varices, paraesophageal varices, dilated azygos vein were also noted, some patients had fistula and portal vein embolus; in Child Grade III, portal branches of 3~4 orders were displayed with more collateral circulations, dilated left renal vein and paragallbladder varices were appeared, with fistula and portal vein embolus or not.

Child I级19例，肝内门静脉显影4~5级，侧枝循环以食管及胃周静脉曲张为主，没有肝动脉－门静脉瘘或门静脉血栓形成；Child Ⅱ级16例，肝内门静脉显影3~4级，侧枝循环除食管及胃周静脉外，脐周静脉、腹膜后静脉、食管周围静脉、奇静脉也有所开放，部分有肝动脉－门静脉瘘或门静脉血栓形成；Child Ⅲ级6例，肝内门静脉显影3~4级，侧枝循环开放较Ⅱ级增多，可出现左肾静脉扩张或胆囊周围静脉曲张，伴或不伴有肝动脉－门静脉瘘或门静脉血栓形成。16排螺旋CT门静脉造影对上述病例分级为一级17例，二级18例，三级6例，与Child分级结果高度相关。

Results There fundal varices and esophageal varices were observed in 40 cases. Single fundal varices was observed in 6 cases.

结果 46例胃底静脉曲张患者，40例同时并存食管静脉曲张，6例孤立性胃底静脉曲张。

Results there fundal varices and esophageal varices were observed in 40 cases. single fundal varices was observed in 6 cases.

结果 46例胃底静脉曲张患者，40例同时并存食管静脉曲张，6例为孤立性胃底静脉曲张。

Methods Esophageal varices sclerotherapy was conducted with 5%Sodium Morruate or 1%Aethoxysklerol; Esophegeal varices ligation was completed with six shooter multi-band ligator and esophgeal varices emblism was treated with TH or thrombin.

内镜下采用5%鱼肝油酸钠或1%乙氧硬化醇进行食管静脉曲张硬化治疗，六连发圈套器结扎治疗和医用TH胶或凝血酶食管静脉内栓塞治疗。

Esophageal varices are a common source of UGB, especially in patients with liver dysfunction and chronic alcoholics.

食管varices是UGB的一个共源极，特别是在有肝脏官能不良和慢性酒客的患者。

Results: 5 protuberances from outside organ (aorta, n=2; spleen, n=1; gallblader, n=1; left hepatic lobe, n=1) and 82 SMTs were detected by mEUS including 45 leiomyomas (esophageal, n=38; gastric. N=7), 17 benign strornal tumours. 6 malignent stromal tumours in stomach. 4 Jipomas (esophageal, n=1; gastric, n=3), 3 varices in gastric fundus. 4 etopic pacreaces in stomach 3 cysts in duodenum. 19 leiomyomas derived from muscularis mucosa, 4 lipomas and 3 cysts derived from suhmucosa were resected by endoscopic snare cauterization. 3 varices in fundus were treated by nylon ligation. 5 malignent stromal tumours were resected surgically. Of which 30 were identified by pathology except 1 malignent stromal tumour was misdiagnosed as leiomyoma by EUS.

结果：mEUS检查的87例患者中，发现消化道壁外压迫5例（其中主动脉弓2例，脾脏1例，胆囊及肝左叶各1例）；粘膜下肿瘤82例，包括平滑肌瘤45例，良性间质瘤17例，恶性间质瘤6例，脂肪瘤4例，静脉瘤3例，异位胰腺4例，囊肿3例。19例起源于粘膜肌层的平滑肌瘤行高频电切除术切除，3例静脉瘤行尼龙圈套结扎，4例脂肪瘤及3例囊肿行高频电切除。5例恶性间质瘤行手术治疗。1例平滑肌瘤，切除后病理诊断为恶性间质瘤，其余的病理诊断与超声诊断相符。

Methods From Jan. 2003 to Dec. 2005, we had analyzed time of 312 hospital patients of cirrhotic upper gastrointestinal bleeding, including esophageal varices, gastric varices and portal high pressure nature stomach disease which had been diagnosed by gastroscopy, bleeding time was defined as the time of vomit blood or black piss, the data had been compared by χ^2 test.

对2003年1月～2005年12月肝硬化上消化道出血的312例住院病例进行回顾性分析，统计胃镜确诊的食管胃底静脉曲张破裂或门脉高压性胃病引起的上消化道出血的时间和季节，对不同时间段和季节率的比较用χ^2检验。

It has been put forward that there exists single Ball point and double Ball points on the symmetrical connecting-rod curves of equilateral mechanisms.

从鲍尔点的形成原理出发，分析对称连杆曲线上鲍尔点的产生条件，提出等边机构的对称连杆曲线上有单鲍尔点和双鲍尔点。

The factory affiliated to the Group primarily manufactures multiple-purpose pincers, baking kits, knives, scissors, kitchenware, gardening tools and beauty care kits as well as other hardware tools, the annual production value of which reaches US$ 30 million dollars.

集团所属工厂主要生产多用钳、烤具、刀具、剪刀、厨具、花园工具、美容套等五金产品，年生产总值3000万美元，产品价廉物美、选料上乘、质量保证，深受国内外客户的青睐