急性胃底食管静脉曲张破裂出血治疗策略的研究进展  

Research progress in treatment strategies of acute gastroesophageal varices bleeding

作　　者：刘星淇 王鹏阁 何松 孙铁为(审校) LIU Xingqi;WANG Pengge;HE Song;SUN Tiewei(Department of Emergency Surgery,the Second Affiliated Hospital of Harbin Medical University,Harbin,150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院急诊外科,哈尔滨150086

出　　处：《临床急诊杂志》2023年第12期657-662,共6页Journal of Clinical Emergency

摘　　要：肝硬化是各种慢性肝病的终末期病理改变,其并发症包括门脉高压症伴胃底食管静脉曲张、腹水、肝性脑病、脾大及脾亢进等。其中最凶险的肝硬化并发症是急性胃底食管静脉曲张破裂出血,虽然近些年随着内镜技术的迅速发展使该疾病的治疗研究有了很大的突破,但患者死亡率仍然非常高,需要多学科综合治疗以提高患者的存活率。本文就急性胃底食管静脉曲张破裂出血治疗有关的最新研究进行综述。Cirrhosis is the end-stage pathological change of various chronic liver diseases,and its complications include portal hypertension with gastroesophageal varices,ascites,hepatic encephalopathy,splenomegas and hypersplenism.The most dangerous complication of cirrhosis is acute variceal hemorrhage.Although great breakthroughs have been made in the treatment of this disease in recent years with the rapid development of endoscopic technology,the mortality rate of patients is still very high,and multidisciplinary comprehensive treatment is needed to improve the survival rate of patients.This article reviews the advanced research on the treatment of acute gastroesophageal variceal bleeding.

关 键 词：肝硬化 门脉高压症 静脉曲张性出血 内镜下治疗 腹腔镜 

分 类 号：R575.2[医药卫生—消化系统]