肝硬化患者吐血到休克，市中医院“天花板”级微创手术再出手！
<!----><style type="text/css">html{font-size:375%}</style><link href="https://pic.app.jiuquhe.com/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/static/publish/css/style.css?v=20240712"><!-- 付费贴--> <div class="preview_article "> <!----> <section><section style="font-size: 14px; letter-spacing: 1.5px; line-height: 1.85;"><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: #fffcf5; padding: 10px; border: 1px solid #90c159;"><section style="margin-top: 8px; margin-bottom: 8px;"><section style="text-align: justify; color: #3e3e3e; line-height: 2;"><p style="text-wrap: wrap; text-indent: 2.28571em; line-height: 2em;"><span style="color: #31859b;"><strong><span style="letter-spacing: 2px;">吐血是肝硬化的常见并发症</span></strong></span><span style="letter-spacing: 2px;">，它的出现提示患者存在着明显的食管胃底静脉曲张，血管的反复破裂导致反复吐血。</span><span style="color: #31859b;"><strong><span style="letter-spacing: 2px;">近日，市中医医院就收治了一位这样的患者。</span></strong></span></p></section></section></section></section><p style="text-wrap: wrap;"> </p><section style="display: flex; width: 100%; flex-flow: column;"><section style="z-index: 1;"><section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; background-color: #0eb2ac; min-width: 5%; height: auto; padding: 5px 20px 5px 11px; border-top-right-radius: 122px; border-bottom-right-radius: 122px; overflow: hidden;"><section style="text-align: justify; color: #ffffff;"><p><strong>病例介绍</strong></p></section></section><section style="display: inline-block; vertical-align: middle; width: auto; min-width: 5%; flex: 0 0 auto; height: auto; align-self: center;"><section style="line-height: 0; transform: translate3d(-12px, 0px, 0px);"><section style="vertical-align: middle; display: inline-block; line-height: 0; width: 24px; height: auto;"><img style="vertical-align: middle; width: 100%; height: auto !important;" src="https://pic.app.jiuquhe.com/Fmu-JmOG45HXgOFfNh_i0lNTf_jO" /></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; line-height: 0.1; min-width: 5%; height: auto;"><section style="transform-origin: center center; transform: rotateZ(45deg);"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 5px;"><section style="display: inline-block; width: 10px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; height: auto; border-style: solid; border-width: 0px 0px 0px 2px; border-left-color: #0eb2ac;"><section style="margin-top: 3px; margin-bottom: 3px; transform: translate3d(-5px, 0px, 0px);"><section style="background-color: #0eb2ac; height: 2px;"></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; line-height: 0.1; min-width: 5%; height: auto;"><section style="transform-origin: center center; transform: rotateZ(45deg);"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 5px;"><section style="display: inline-block; width: 10px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; height: auto; border-style: solid; border-width: 0px 0px 0px 2px; border-left-color: #0eb2ac;"><section style="margin-top: 3px; margin-bottom: 3px; transform: translate3d(-5px, 0px, 0px);"><section style="background-color: #0eb2ac; height: 2px;"></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; line-height: 0.1; min-width: 5%; height: auto;"><section style="transform-origin: center center; transform: rotateZ(45deg);"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 5px;"><section style="display: inline-block; width: 10px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; height: auto; border-style: solid; border-width: 0px 0px 0px 2px; border-left-color: #0eb2ac;"><section style="margin-top: 3px; margin-bottom: 3px; transform: translate3d(-5px, 0px, 0px);"><section style="background-color: #0eb2ac; height: 2px;"></section></section></section></section></section></section><section style="display: inline-block; vertical-align: middle; width: auto; align-self: center; flex: 0 0 auto; line-height: 0.1; min-width: 5%; height: auto;"><section style="transform-origin: center center; transform: rotateZ(45deg);"><section style="text-align: center; justify-content: center; display: flex; flex-flow: row; margin-top: 5px;"><section style="display: inline-block; width: 10px; vertical-align: top; align-self: flex-start; flex: 0 0 auto; height: auto; border-style: solid; border-width: 0px 0px 0px 2px; border-left-color: #0eb2ac;"><section style="margin-top: 3px; margin-bottom: 3px; transform: translate3d(-5px, 0px, 0px);"><section style="background-color: #0eb2ac; height: 2px;"></section></section></section></section></section></section></section></section></section></section><section style="text-align: left; justify-content: flex-start; display: flex; flex-flow: row; margin-top: 10px; margin-bottom: 10px;"><section style="display: inline-block; width: 100%; vertical-align: top; align-self: flex-start; flex: 0 0 auto; background-color: #fffcf5; padding: 10px; border: 1px solid #90c159;"><section style="margin-top: 8px; margin-bottom: 8px;"><section style="text-align: justify; color: #3e3e3e; line-height: 2;"><p style="text-align: left; text-indent: 2.28571em; line-height: 2em;"><span style="letter-spacing: 2px;">患者刘叔叔年过五旬，因肝硬化并食管胃底静脉破裂出血，持续吐血导致失血过多，送到医院时已是休克状态。医院立即将其送往ICU，并开展输血和多科会诊。经床旁胃镜检查确定了出血点，由于内镜止血达不到最佳治疗效果，最后送往外一科进行下一步治疗。</span></p><p style="text-align: left; text-indent: 2.28571em; line-height: 2em;"> </p><p style="text-indent: 2.28571em; line-height: 2em;"><span style="letter-spacing: 2px;">外一科接诊后，</span><span style="color: #31859b;"><strong><span style="letter-spacing: 2px;">科室主任曾云锦立即组织肝胆外科和血管外科展开讨论，确定治疗方案和手术方式。</span></strong></span><span style="letter-spacing: 2px;">刘叔叔的女儿也是一名医生，在听取了医生建议并综合考虑各方面因素后，刘叔叔一家选择</span><span style="color: #31859b;"><strong><span style="letter-spacing: 2px;">TIPS手术进行治疗。</span></strong></span></p><p style="text-indent: 2.28571em; line-height: 2em;"><span style="color: #31859b;"><strong><span style="letter-spacing: 2px;"> </span></strong></span></p><section><section style="margin: 10px auto; display: flex; justify-content: center;"><section style="display: flex; align-items: flex-end;"><section style="flex-shrink: 0; margin-right: -26px; z-index: 5;"><section style="width: 40px; height: 0px; overflow: hidden;"></section></section><section><section style="background-color: #eff2d6; border-radius: 25px; padding: 8px 25px;"><section style="font-size: 17px; color: #333333; text-align: center;"><p style="line-height: 2em; text-indent: 0em;"><span style="letter-spacing: 2px;"><strong>什么是TIPS手术？</strong></span></p></section></section><section style="width: 100%; border-bottom: 1px solid #8a924d; margin-top: 5px; height: 1px; overflow: hidden;"></section></section></section></section></section><p style="text-indent: 2.28571em; line-height: 2em;"><span style="color: #31859b;"><strong><span style="letter-spacing: 2px;">TIPS即经颈静脉肝内门腔静脉分流术</span></strong></span><span style="letter-spacing: 2px;">，被称为是“介入手术的天花板”。它以微创介入的方式从结构上显著降低门静脉阻力，是门静脉高压急性大出血最有效的抢救手段，同时也是外周介入领域技术难度最大、技术含量最高的手术之一，外一科去年已经成功独立开展过一例同类手术，具备相关诊疗经验。</span></p><p style="text-indent: 2.28571em; line-height: 2em;"> </p><p style="line-height: 2em; text-indent: 0em;"><span style="letter-spacing: 2px;"><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 100%; height: auto !important;" src="https://pic.app.jiuquhe.com/Fs0QoJoPE60d3O9TZTd110acGtrJ" /></span></p><p style="text-indent: 43px; line-height: 2em;"> </p><p style="text-align: left; text-indent: 2.28571em; line-height: 2em;"><span style="letter-spacing: 2px;">手术于次日进行，由朱小阳在导管室开展。他在刘叔叔的颈静脉处的小切口插入一个细管，利用它在肝脏内部创造通道，使血液绕过受损肝脏，直接流入肝内的静脉系统，减轻门脉的压力，在缓解肝腹水问题的同时有效预防上消化道出血。</span></p><p style="text-indent: 2.28571em; line-height: 2em;"><span style="letter-spacing: 2px;"> <img class="rich_pages wxw-img" style="vertical-align: baseline; height: auto !important;" src="https://pic.app.jiuquhe.com/FmNkNdEUcp2VKzLj2lCDoR6yBjjs" /></span></p><p style="text-indent: 2.28571em; line-height: 2em;"> </p><p style="text-indent: 2.28571em; line-height: 2em;"><span style="letter-spacing: 2px;">2小时后，手术完成。术后刘叔叔的各项指标改善明显，门静脉压力由术前的42cm水柱下降为32cm水柱，压力明显降低，消化道出血停止，血色素逐渐回升至正常范围。</span></p><p style="text-indent: 2.28571em; line-height: 2em;"> </p><p style="text-indent: 2.28571em; line-height: 2em;"><span style="color: #31859b;"><strong><span style="letter-spacing: 2px; font-family: Helvetica, Arial, sans-serif;">经过后续的精心治疗和护理，刘叔叔顺利康复。出院当天，他的女儿专程送来了锦旗。</span></strong></span><span style="color: #444444; letter-spacing: 2px; font-family: Helvetica, Arial, sans-serif;">朱小阳介绍，TIPS术不仅能治疗肝硬化导致的出血，还可以改善肝硬化患者肝功能，治疗顽固性腹水等。去年接受此项手术的患者定期复查结果显示，恢复情况良好，身体状况稳定。</span></p><p style="text-indent: 2.28571em; line-height: 2em;"> </p><p style="text-align: left; line-height: 2em; text-indent: 0em;"><img class="rich_pages wxw-img" style="vertical-align: baseline; width: 556px; height: auto !important;" src="https://pic.app.jiuquhe.com/FvV8DkIpfnwAxziQ5Y_tR70qkwsn" /></p><section style="text-wrap: wrap; text-indent: 2.28571em; line-height: normal;"><span style="color: #444444; letter-spacing: 2px; font-family: Helvetica, Arial, sans-serif;"> </span></section><p style="text-wrap: wrap; text-indent: 2.28571em; line-height: 2em;"><span style="color: #444444; letter-spacing: 2px; font-family: Helvetica, Arial, sans-serif;">TIPS手术的再次成功开展，标志着市中医院微创介入手术的又一突破，同时也是医院不断提高医疗服务质量、持续改善患者就医感受的具体体现。</span></p></section></section></section></section><p style="text-wrap: wrap;"> </p></section></section><p style="display: none;"> </p> <!----></div> 吐血了 太严重了妈呀我有个叔叔就是肝硬化晚期 整个人大变样
朱小阳医生技术高超
医术精湛 朱医生干得漂亮 可以，牛逼。外周介入最难的就是tips了。。当然如果是自己做的，就更牛了。。 医术精湛 干的漂亮 医术精湛
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