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Therapeutic strategy for gastroesophageal variceal bleeding of portal hypertension
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摘要: 食管胃底静脉曲张破裂出血是门静脉高压的严重并发症,如何控制食管胃底静脉曲张破裂出血并预防再出血,是救治肝硬化患者生命的关键。简述了门静脉高压食管胃底静脉曲张出血的治疗和预防的4个阶段,指出应根据患者不同的临床时期、不同的肝静脉压力梯度、不同的肝功能分级,选择不同的治疗策略。Abstract: Gastroesophageal variceal bleeding is a severe complication of portal hypertension. The prevention of gastroesophageal variceal bleeding and rebleeding remains an important goal in treating patients with liver cirrhosis. This article briefly describes the four stages of the prevention and treatment of gastroesophageal variceal bleeding due to portal hypertension and points out that the therapeutic strategy should be selected according to the clinical stage,hepatic venous pressure,and liver function classification of patients.
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