论文部分内容阅读
食管胃静脉曲张出血(EGVB)是肝硬化患者常见的并发症,病情凶险,出血量大,病死率高。其治疗目标是预防EGVB首次出血、控制活动性出血和预防再出血,以降低病死率。治疗方法包括药物治疗、内镜下静脉曲张套扎、硬化治疗、组织粘合剂注射治疗、介入治疗、联合治疗以及外科手术治疗。根据内镜下的不同情况以及肝功能的分级等采取不同的治疗方法。现就EGVB治疗方法的一些新进展予以综述。
Esophageal and gastric variceal bleeding (EGVB) is a common complication of patients with cirrhosis, dangerous condition, large amount of bleeding, high mortality. Its goal is to prevent EGVB bleeding for the first time, to control active bleeding and prevent rebleeding, in order to reduce mortality. Treatments include medication, endoscopic varicose vein ligation, sclerotherapy, tissue adhesive injection therapy, interventional therapy, combination therapy, and surgical treatment. According to different endoscopic conditions and grading of liver function to take a different treatment. Now some new advances in the treatment of EGVB are reviewed.