摘要
目前已有关于肝硬化侵入性操作的风险分类和管理相关指南,但对于出血风险和止血相关参数的安全阈值尚未达成共识。本共识将80项操作分为低或高风险,同时列举经专家达成经验共识的对肝硬化患者进行侵入性操作前的血小板计数、国际标准化比值、纤维蛋白原、活化部分凝血活酶时间等实验室指标的安全阈值,旨在建立一份关于肝硬化侵入性操作相关出血风险的专家意见。此种基于经验的分类可能有助于完善未来的研究设计,并指导对肝硬化患者进行侵入性操作的临床决策。
Although there are several risk classification and management guidelines for invasive procedures in cirrhotic patients,consensus on the bleeding risk and thresholds of hemostatic parameters has not been achieved.The purpose of this consensus is to establish an expert opinion on the bleeding risk associated with invasive procedures in cirrhotic patients,categorizing 80 procedures as"high risk"and"low risk".The consensus also informs physicians of the laboratory thresholds for platelet count,international normalized ratio,fibrinogen,and activated partial thromboplastin time that experts consider acceptable for elective invasive procedures in patients with cirrhosis.This experience⁃based classification may help refine future research design and guide clinical decision⁃making for invasive procedures in cirrhotic patients.
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)
出处
《胃肠病学》
2025年第1期28-31,共4页
Chinese Journal of Gastroenterology
关键词
操作相关出血
止血
血小板
国际标准化比值
纤维蛋白原
活化部分凝血活酶时间
Procedure⁃Related Bleeding
Hemostasis
Platelet
International Normalized Ratio
Fibrinogen
Activated Partial Thromboplastin Time
