Anesthesia for 90 patients with hepatic cirrhosis induced portal hypertension

Objective: To investigate the characteristics of anesthesia in patients with hepatic cirrhosis induced portal hypertension.Methods: The clinical data of 90 cases of portal hypertension induced by hepatic cirrhosis were analyzed retrospectively.Ten of the cases with massive hemorrhage of gastrointestinal tract(hemorrhagic shock) received emergency operation.General anesthesia was applied to 45 cases,general anesthesia combined with epidural anesthesia to 43 cases and epidural anesthesia to 2 cases.Results: Excepting for one case who went back to the ward for capillary hemorrhage and unstable blood pressure without pulling off the endotracheal tube,the endotracheal tubes in other 87 cases were successfully pulled out 30 min after the operation.One case suffered from paralysis of the vocal cord,and hoarseness disappeared after symptomatic treatment;one case presented tension pneumothorax and received incision and drainage in time;hypoglycemia occurred in one case.No complication of intravertebral anesthesia or intraoperative awareness occurred.Conclusions: Anesthesia methods should be selected rationally for patients with hepatic-cirrhosis-induced portal hypertension.In any circumstances,hypoproteinemia and nutritional anemia must be taken into account and detection of breath circulation must be strengthened.