Saturday, January 12, 2008
Celiac-jugular vein bypass the indications and contraindicat
Bypass applicable to a variety of reasons caused the refractory ascites, cirrhosis, such as schistosomiasis intractable ascites, Alcoholic cirrhosis, necrosis cirrhosis, hepatic vein occlusion ascites, in limiting sodium intake and application of diuretics in the treatment of eight to 12 weeks, if no significant effect, kidney patients revealed hypoperfusion, reduced glomerular filtration rate may consider the application of the surgery. Inappropriate application of the following circumstances : ① acute alcoholic hepatitis accompanied by jaundice, serum bilirubin> 171 ยต mol / L; ② spontaneous hepatic coma; ③ acute tubular necrosis; ④ primary peritonitis or ascites neutrophils> 0.4 x 10.9 / L, respectively.
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