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从Baveno VI共识看肝硬化食管胃底静脉曲张的个体化治疗
Individualized treatment of liver cirrhosis and esophageal and gastric varices from the perspective of Baveno Ⅳ
文章发布日期:2016年02月06日  来源:  作者:张春清,李晶  点击次数:1855次  下载次数:381次

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【摘要】:门静脉高压治疗经历了外科手术、内镜下硬化剂注射、套扎治疗、组织胶栓塞和放射介入等治疗手段,使门静脉高压相关病死率显著降低;Baveno Ⅵ以门静脉高压风险评估及个体化管理为主题,强调患者分层和个体化治疗。以Baveno Ⅵ共识为基础,简述了肝静脉压力梯度、肝功能储备状态及“胃肾分流”等特征参数在静脉曲张出血和预防中的应用进展。
【Abstract】:The therapeutic methods for portal hypertension have been greatly developed, including surgical operation, endoscopic injection of sclerosing agents, endoscopic variceal ligation, tissue adhesive embolization, and radioactive intervention, and have significantly reduced the fatality of portal hypertension. Focusing on the risk assessment and individualized management of portal hypertension, Baveno IV emphasizes patient stratification and individualized treatment. Based on Baveno IV consensus, this article briefly introduces hepatic venous pressure gradient and liver function reserve, as well as the application of characteristic parameters such as “gastro-renal shunt” in the development and prevention of variceal bleeding.
【关键字】:肝硬化; 门静脉高压;食管和胃静脉曲张;治疗
【Key words】:liver cirrhosis; portal hypertension; esophageal and gastric varices; therapy
【引证本文】:张春清, 李晶. 从BavenoⅥ共识看肝硬化食管胃底静脉曲张的个体化治疗[J]. 临床肝胆病杂志, 2016, 32(2): 242-244.

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