肝硬化食管胃底静脉曲张破裂出血的治疗进展  

Advances in the Treatment of Esophagogastric Variceal Bleeding in Cirrhosis

作　　者：吴梦婕 孙蕾民[2] 

机构地区：[1]浙江大学医学院附属第四医院消化内科,浙江 义乌 [2]浙江大学医学院附属邵逸夫医院消化内科,浙江 杭州

出　　处：《临床医学进展》2024年第5期1967-1974,共8页Advances in Clinical Medicine

摘　　要：食管胃底静脉曲张破裂出血是肝硬化失代偿期的患者中最常见且致死的并发症之一,首次出血的死亡率高达30%。目前有药物保守治疗、内镜治疗、介入治疗等多种治疗方法可供选择,选择合适的治疗方案对EGVB患者至关重要。本文就肝硬化EGVB的治疗进展进行综述,为提高EGVB止血率、降低病死率提供策略。Esophagogastric variceal bleeding is one of the most common and fatal complications in patients with decompensated liver cirrhosis. Studies have found that the mortality of the first bleeding is up to 30%. At present, there are a variety of treatment methods available, including conservative treatment, endoscopic treatment, and interventional treatment. Therefore, it is of great significance to select an appropriate treatment plan for patients with EGVB. This article aims to comprehensively review the treatment of EGVB in patients with liver cirrhosis, in order to improve the hemostasis rate of EGVB, reduce mortality, and provide practical strategies for its treatment.

关 键 词：食管胃底静脉曲张破裂出血 肝硬化 治疗 内镜 介入 

分 类 号：R57[医药卫生—消化系统]