EASL临床实践指南:预防和治疗肝硬化出血和血栓  

EASL clinical practice guidelines: prevention and treatment of hemorrhage and thrombosis in liver cirrhosis

作　　者：雒博晗 韩国宏 Luo Bohan;Han Guohong(Department of Digestive and Peripheral Vascular Interventional Radiology,Xi'an International Medical Center Hospital,Xi'an 710100,China)

机构地区：[1]西安国际医学中心医院消化与外周血管介入科,西安710100

出　　处：《中华肝脏病杂志》2022年第7期696-701,共6页Chinese Journal of Hepatology

摘　　要：预防和治疗肝硬化患者出血和血栓面临一些困难的临床问题,该指南的制定是为有争议的话题提供实践指导,这些话题包括:肝病止血的现时观点,侵入性操作是否需要纠正血小板减少和凝血异常,以及对于凝血异常的住院患者进行血栓预防的必要性。指南中的多项推荐都是源于专家组认为尽管在临床实践中广泛应用,但并不是有用的措施。现对上述话题的推荐进行编译汇总,以飨读者。Hemorrhage and thrombosis prevention and treatment in patients with cirrhosis faces certain clinical difficulties.Therefore,this guideline is formulated to provide practical guidance on controversial topics,such as the current perspectives on hemostasis in liver disease,whether invasive procedures need to correct thrombocytopenia and coagulation abnormalities,and the necessity of thromboprophylaxis in hospitalized patients with abnormal coagulation.Many of the recommendations in the guidelines are not useful measures;however,they were stem under the oversight of an expert panel,and are widely used in clinical practice.Here,we compile and summarize the recommendations on the above topics in order to share them with readers.

关 键 词：肝硬化 出血 血栓 止血 侵入性操作 静脉血栓栓塞 

分 类 号：R575.2[医药卫生—消化系统]