首 页   本刊简介  编委会  审稿专家  在线期刊  写作规范  广告合作  联系我们
您现在的位置:首页 => 在线期刊 => 2018年 10期 门静脉栓塞的基础与临床 => 综述 =>重症监护病房肝病患者的血栓预..
重症监护病房肝病患者的血栓预防与出血控制
Thromboprophylaxis and bleeding control in patients with liver disease in the intensive care unit
文章发布日期:2018年09月10日  来源:  作者:邢文立,李谦  点击次数:249次  下载次数:17次

调整字体大小:

(此处下载失败可以在在线预览处保存副本或者右键另存为)

【摘要】:肝脏涉及多种与凝血相关的蛋白合成,常常伴有复杂的凝血系统异常。实验室及临床证据提示肝病患者会达到一个凝血再平衡的状态,但是这种平衡状态相对脆弱,所以临床上出血及血栓形成事件常有发生。急、慢性肝病患者都可能因为出血或血栓形成等各种严重的并发症而进入重症监护病房。胃肠道出血、全身或局部血栓形成和体外循环中发生的凝血事件等是重症监护病房中肝病患者常见的并发症。给予肝病患者个体化的预防血栓形成的治疗,并给予限制性的输血策略(等待观察策略)是合理的。
【Abstract】:Liver diseases are associated with complex abnormalities in the coagulation system as the liver is involved in the synthesis of various coagulation-related proteins. Laboratory and clinical evidence suggests that patients with liver disease may achieve a state of rebalanced hemostasis, but such balance is relatively unstable, and thus bleeding and thrombosis events are observed in clinical practice. Patients with acute or chronic liver diseases might be admitted to the intensive care unit (ICU) due to serious complications such as bleeding and thrombosis. Gastrointestinal bleeding, systemic or local thrombosis, and coagulation events in extracorporeal circulation are common complications observed in patients with liver disease in the ICU. An individualized management plan of thromboprophylaxis and a wait-and-see policy for limited blood transfusion are reasonable for patients with liver disease.
【关键字】:肝疾病; 止血障碍; 输血; 血栓形成; 综述
【Key words】:liver diseases; hemostatic disorders; blood transfusion; thrombosis; review
【引证本文】:XING WL, LI Q. Thromboprophylaxis and bleeding control in patients with liver disease in the intensive care unit[J]. J Clin Hepatol, 2018, 34(10): 2237-2240. (in Chinese)
邢文立, 李谦. 重症监护病房肝病患者的血栓预防与出血控制[J]. 临床肝胆病杂志, 2018, 34(10): 2237-2240.

地址:长春市东民主大街519号《临床肝胆病杂志》编辑部 邮编:130061 电话:0431-88782542/3542
临床肝胆病杂志 版权所有 Copyright © 2009 - 2013 Lcgdbzz.org. All Rights Reserv 吉ICP备10000617号

吉公网安备 22010402000041号