摘要
门静脉高压症并上消化道出血主要由食管胃底静脉曲张破裂引起,是门静脉高压最危急的并发症。常致患者失血性休克,加重肝细胞损害、诱发腹水和肝性脑病,危及患者生命。介入治疗与传统外科手术相比,围术期风险低、并发症发生率低、病死率较低,近年逐渐成为治疗该症的主要技术手段。各种介入方法原理和路径不同,优缺点和难易程度各异,介入医师应该充分认识,并根据临床情况进行选择。现就该症的介入治疗技术及其研究进展进行综述。
Portal hypertension （PHT） with upper gastrointestinal hemorrhage （ UGH ） is mainly caused by the stomach esophagus varicosity burst,which is the most critical complication of portal hy- pertension. The PHT with UGH often lead to hemorrhagic shock, worsen liver cell damage, evoke ascites and hepatic encephalopathy, endangering patient life. Compared to traditional surgery, intervention treatment has lower perioperative risk, lower complication incidence and lower mortality. Recently, in- tervention treatment has gradually become the main technical means of PHT with UGH. Different kinds of interventional treatment have different principles, paths, advantages and disadvantages. Doctors should have full understanding and make choice according to the different clinical circumstance. Here is to make a comprehensive review of intervention treatment technology and its research progress in PHT with UGH.
出处
《医学综述》
2012年第14期2240-2242,共3页
Medical Recapitulate
关键词
门静脉高压症
消化道出血
食管胃底静脉曲张
介入治疗
Portal hypertension
Gastrointestinal bleeding
Gastroesophageal varices
Interven- tion treatment
