一老年男性,突然呕血100Oml,有门静脉高压症病史。查体:BP80/50mmHg,全身皮肤黄染,脾肋下未及,移动性浊音阳性,血清蛋白28g/L。应采取的...

作者: rantiku 人气: - 评论: 0
问题 一老年男性,突然呕血100Oml,有门静脉高压症病史。查体:BP80/50mmHg,全身皮肤黄染,脾肋下未及,移动性浊音阳性,血清蛋白28g/L。应采取的治疗措施是(?)
选项 A.输血、垂体加压素、三腔管压迫止血 B.脾一肾静脉分流术 C.门一腔静脉分流术 D.脾一腔静脉分流术 E.贲门周围血管离断术(???)
答案 A
解析 :对于肝功能储备ChildC级的病人,尽可能采用非手术治疗。

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