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经颈静脉肝内门体分流术在肝硬化食管胃底静脉曲张破裂出血中的应用现状与未来展望

吕勇 樊代明 韩国宏

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经颈静脉肝内门体分流术在肝硬化食管胃底静脉曲张破裂出血中的应用现状与未来展望

DOI: 10.3969/j.issn.1001-5256.2022.06.004
利益冲突声明: 所有作者均声明不存在利益冲突。
作者贡献声明: 吕勇负责撰写文章;韩国宏、樊代明指导文章撰写及最后定稿。
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    韩国宏,13991969930@126.com

Application status and future prospect of transjugular intrahepatic portosystemic shunt in gastroesophageal variceal bleeding in liver cirrhosis

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  • 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。

     

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  • 收稿日期:  2022-05-01
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