摘要
食管胃底静脉曲张破裂出血是肝硬化门静脉高压的致命性并发症。经颈静脉肝内门体分流术(TIPS)是治疗门静脉高压并发症的有效手段。TIPS可用于预防复发性或顽固性腹水患者的首次静脉曲张出血。对急性静脉曲张出血高危(Child-Pugh C级<14分、Child-Pugh B级>7分伴内镜下活动性出血或肝静脉压力梯>20 mmHg)的患者,应当尽早行TIPS治疗。对标准治疗失败的急性静脉曲张出血,TIPS是有效的挽救措施。此外,TIPS也是预防静脉曲张再出血的二线选择。
Gastroesophageal variceal bleeding is the life-threating complication of cirrhotic portal hypertension,and transjugular intrahe-patic portosystemic shunt(TIPS)is an effective therapy for portal hypertension-related complications.TIPS can be used for the prevention of first-time bleeding in patients with recurrent or intractable ascites.TIPS should be performed as early as possible for patients at a high risk of acute variceal bleeding(Child-Pugh class C<14 points or Child-Pugh class B>7 points with active bleeding on endoscopy or he-patic venous pressure>20 mmHg).TIPS is an effective salvage therapy for acute variceal bleeding with failure after standard treatment,and is also a second-line option for preventing variceal rebleeding.
作者
吕勇
樊代明
韩国宏
LYU Yong;FAN Daiming;HAN Guohong(Department of Gastroenterology,Xijing Hospital,Air Force Medical University,Xi’an 710032,China;Military Medical Innovation Center,Air Force Medical University,Xi’an 710032,China;Department of Digestive Intervention,Digestive Diseases Hospital,Xi’an International Medical Center Hospital,Xi’an 710100,China)
出处
《临床肝胆病杂志》
CAS
北大核心
2022年第6期1229-1233,共5页
Journal of Clinical Hepatology
关键词
肝硬化
门静脉高压
门体分流术
经颈静脉肝内
食管和胃静脉曲张
Liver Cirrhosis
Portal Hypertension
Portasystemic Shunt,Transjugular Intrahepatic
Esophageal and Gastric Varices
