肝硬化门静脉高压合并食管静脉曲张出血的风险评估  

Risk assessment of esophageal varices hemorrhage in patients with cirrhotic portal hypertension

作　　者：汤善宏[1,2] 秦建平[1] 曾维政[2] 徐辉[1] 范泉水[2] 蒋明德[1] 

机构地区：[1]中国人民解放军成都军区总医院消化内科,四川成都610083 [2]成都军区疾控中心

出　　处：《胃肠病学和肝病学杂志》2014年第11期1255-1258,共4页Chinese Journal of Gastroenterology and Hepatology

基　　金：成都军区总医院院管课题(2013YG-B009)

摘　　要：食管静脉曲张破裂出血是肝硬化门静脉高压常见及最严重的并发症之一,常危及患者的生命。据报道,每年约7%的肝硬化患者发生食管静脉曲张破裂出血。因此,评估食管静脉曲张出血风险对于临床防治具有重要意义。目前,内镜、一些血清标志物、影像学检查及肝静脉压力梯度(HVPG)等对曲张静脉出血风险的预测具有一定价值。本文将对预测肝硬化门静脉高压所致食管静脉曲张出血风险研究进展作一概述。One of the most common and serious complications in cirrhotic patients with portal hypertension is esophageal varices hemorrhage,which is a progressive condition with an increased rate of approximately 7％ per year in cirrhotic patients.Therefore,evaluating the risk of varices hemorrhage is critical for clinical treatment and interference.Besides endoscopy,serum biomarkers,iconography and hepatic venous pressure gradient （HVPG） show prediction values for the esophageal varices hemorrhage.The article reviewed the progress for the prediction of esophageal varices hemorrhage.

关 键 词：门静脉高压 食管静脉曲张 出血 风险 

分 类 号：R575.2[医药卫生—消化系统]