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TIPS治疗肝硬化门脉高压急性静脉曲张出血:救命治疗还是一线治疗?

韩国宏 祁兴顺 樊代明

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TIPS治疗肝硬化门脉高压急性静脉曲张出血:救命治疗还是一线治疗?

详细信息
  • 中图分类号: R575.2

Transjugular intrahepatic portosystemic shunt for patients with cirrhosis and acute variceal bleeding:rescue or first-line therapy?

  • 摘要: 美国肝脏病学会门静脉高压防治指南和TIPS治疗门脉高压指南均推荐TIPS应作为药物及内镜控制急性静脉曲张出血失败后的"救命"治疗。然而,虽然出血控制率较好,但病死率仍较高。最近,对肝功能不好的肝硬化急性静脉曲张出血患者的多中心随机对照研究显示,用覆膜支架早期TIPS与药物联合内镜比较,前者能显著减低出血控制失败率和延长生存率。当急性静脉出血发生在Child-Pugh B级或C级(≤13分)患者时,应将覆膜支架TIPS做为一线治疗,而非"救命"治疗。

     

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  • 出版日期:  2011-03-20
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