肝硬化急性静脉曲张出血的治疗现状

Q3 Medicine
Y Lyu, G H Han, D M Fan
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引用次数: 0

摘要

急性静脉曲张出血(AVB)仍然是肝硬化门静脉高压的致命并发症。虽然随着医疗技术的进步,急性静脉曲张出血患者的住院率明显降低,死亡率从30年前的50%下降到现在的15%~20%,但住院死亡率仍然很高,且与肝硬化的严重程度密切相关,从Child A级的0到Child C级的32%不等。因此,急性静脉曲张出血患者的死亡风险具有高度的异质性,因此对这些患者进行风险分层,并根据预期风险制定个性化的治疗方法是一个很好的选择。本文主要综述肝硬化急性静脉曲张出血的危险分层及治疗现状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Current status of treatment for acute variceal bleeding in liver cirrhosis].

Acute variceal bleeding (AVB) continues to be a fatal complications of cirrhotic portal hypertension. Although the hospitalization rate of patients with acute variceal bleeding has significantly decreased with the advancement of medical technology, and the mortality rate has dropped from 50% three decades before to 15%~20% now, the in-hospital mortality rate is still high and is closely related to the severity of cirrhosis, ranging from 0 in Child A grade to 32% in Child C grade. Therefore, it is a good choice to risk stratify these patients and individualize the treatment method according to the expected risk, as the risk of death in patients with acute variceal bleeding is highly heterogeneous. This article mainly reviews the current status of risk stratification and treatment of acute variceal bleeding in cirrhosis.

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来源期刊
中华肝脏病杂志
中华肝脏病杂志 Medicine-Medicine (all)
CiteScore
1.20
自引率
0.00%
发文量
7574
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