肝硬化门静脉高压症食管、胃底静脉曲张破裂出血诊治专家共识(2025版)  

Expert consensus on the diagnosis and treatment of esophageal and gastric variceal rupture bleeding in cirrhotic portal hypertension (2025 edition)

作　　者：中华医学会外科学分会脾及门静脉高压外科学组 杨连粤[2] 白雪莉[3] Chinese Society of Spleen and Portal Hypertension Surgery,Chinese Society of Surgery,Chinese Medical Association;Yang Lianyue(不详;Department of General Surgery,Xiangya Hospital of Central South University,Changsha 410008,China)

机构地区：[1]不详 [2]中南大学湘雅医院普外科,长沙410008 [3]浙江大学医学院附属第一医院

出　　处：《中华外科杂志》2025年第3期177-186,共10页Chinese Journal of Surgery

摘　　要：门静脉高压症是一组由多种原因导致门静脉压力持续增高的综合征,其中肝硬化是最常见的原因。肝硬化门静脉高压症的主要病理生理学特征为门静脉血流受阻,导致门静脉压力升高及侧支循环开放。在肝硬化门静脉高压症的诸多临床表现中,食管和胃底静脉曲张破裂出血最为紧急,具有较高的病死率。为了规范肝硬化门静脉高压症食管、胃底静脉曲张破裂出血的诊断与治疗流程,中华医学会外科学分会脾及门静脉高压外科学组组织多学科专家,修订并更新了《肝硬化门静脉高压症食管、胃底静脉曲张破裂出血的诊治专家共识(2019版)》,形成本共识,旨在通过整合最新的研究成果和临床经验,为临床医师提供科学、实用的诊疗建议,帮助其制订最佳治疗方案,提高患者的治疗效果和生活质量。Portal hypertension is a group of syndromes with persistently increased portal pressure from a variety of causes,of which cirrhosis is the most common cause.The primary pathophysiological feature ofportal hypertension in cirrhosis is the obstruction of portal blood flow,resulting in elevated portal pressure and the opening of collateral circulation.Among the many clinical manifestations of cirrhotic portal hypertension,esophageal and gastric variceal rupture bleeding is the most urgent and carries a high mortality rate.The diagnosis and treatment process for esophageal and gastric variceal rupture bleeding in cirrhotic portal hypertension has been standardized by multidisciplinary experts organized by the Chinese Society of Spleen and Portal Hypertension Surgery,Chinese Society of Surgery,and Chinese Medical Association.The“Expert consensus on the diagnosis and treatment of esophageal and gastric variceal rupture bleeding in cirrhotic portal hypertension(2019 edition)”was revised and updated to form this consensus,integrating the latest research findings and clinical experience to provide clinicians with scientific and practical diagnostic and treatment recommendations,helping them develop optimal treatment plans to improve patient outcomes and quality of life.

关 键 词：肝硬化 高血压 门静脉 食管和胃静脉曲张 出血 专家共识 

分 类 号：R575.2[医药卫生—消化系统]