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肝硬化食管静脉曲张破裂出血的内镜治疗 被引量：2

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摘要 门静脉系统血流受阻和/或血流量增加,导致门静脉及其属支血管静脉压升高称为门静脉高压症(Portal hypertension,PHT).正常门静脉压力为5～10 mmHg(1 kPa=7.5 mmHg),当门静脉压或肝静脉嵌塞压(WHVP)超过下腔静脉压5 mmHg;肝静脉压力梯度(HVPG)＞5 mmHg提示门脉压增高[1].
作者 姜慧卿
机构地区 河北医科大学第二医院消化科
出处 《疑难病杂志》 CAS 2002年第3期181-182,共2页 Chinese Journal of Difficult and Complicated Cases
关键词 肝硬化 食管静脉曲张 门静脉高压症 内镜治疗
分类号 R575.2 [医药卫生—消化系统]
  • 相关文献

参考文献7

  • 1[2]Bass NM,Somberg KA.Portal hypertension and gastrointestinal bleeding.In:Fedman M,Scharschmidt BF,SleisengeRMH.SleisengeR& Fordrtan's Gastrointestinal and LiveRDisease.北京:科学出版社,2001.128-129.
  • 2[3]Luketic VA,Sanyal AJ.Esophageal varices .Ⅰ.clinical presentation,medical therapy,and endoscopic therapy.Gastroenterol Clin North Am,2000,29(2):337-385.
  • 3姜慧卿.肝硬化门静脉高压症内科诊疗进展[J].河北医药,2002,24(5):366-367. 被引量：4
  • 4姜慧卿.肝硬化食管静脉曲张首次破裂出血的预防[J].临床肝胆病杂志,1995,11(3):124-126. 被引量：3
  • 5于皆平,黄杰安.食管胃底静脉曲张结扎术的评价[J].中华消化内镜杂志,2000,17(4):252-254. 被引量：9
  • 6[7]Lay CS,Tsai YT,Teg CY,et al.Endoscopic variceal ligation in prophylaxis of first variceal bleeding in cirrhotic patients with high-risk esophageal varices.Hepatology,1997,25(6):1 346-1 350.
  • 7[8]Laine L,Cook D.Endoscopic ligation compared with sclerotherapy foRtreatment of esophageal variceal bleeding.A meta-analysis.Ann Intern Med,1995,123(4):280-287.

二级参考文献25

  • 1Hrusovsky S, Narwan H, Gocar E. Elasticband ligation in secondary prevention of esophageal varices hemorrhage. Bratisl Lek Listy,1999,100:252－ 255．
  • 2Lo GH, Lai KH, Cheng JS， et al .The additive effect of sclerotherapy to patientsreceiving repeated endoscopic variceal ligation: a prospective,randomized trial.Hepatology, 1998,28:239－ 245．
  • 3Masumoto H, Toyonaga A, Oho K， et al. Ligation plus low－ volume sclerotherapyfor high－ risk esophageal varices: comparisons with ligation therapy or sclerotherapyalone. J Gastroenterol, 1998,33(1):1－ 5．
  • 4Yoshikawa I, Murata I, Nakano S， et al. Effects of endoscopic variceal ligationon portal hypertensive gastropathy and gastric mucosal blood flow. Am J Gastroenterol,1998,93(1):71－ 74．
  • 5Shafqat F, Khan AA, Alam A， et al .Band ligation vs endoscopic sclerotheerapy inesophageal varices: a prospective randomized comparison. JPMA J Pak Med Assoc, 1998,48:192－196．
  • 6De Ftanchis R, Banares R, Silvain C. Emergency endoscopy strategies for improvedoutcomes. Scand J Gastroenterol Suppl, 1998,226:25－ 36．
  • 7Gralnek IM, Jensen DM, Kovacs TOG et al. The economic impact of esophageal varicealhemorrhage: cost－ effectivenesss implications of endoscopic therapy. Hepatology,1999,29(1)44－ 50．
  • 8Shibuya S, Takase Y, Chikamori F et al. An improved endoscopic variceal ligationfor esophageal and solitary gastric varices three－ O－ band－ shooter. Wiad Lek,1997,50 (Su 1) :293～ 295．
  • 9Shiha G, EL－ Sayed SS. Gastric variceal ligation : a new technique. GastrointestEndosc 1999;49(4 Pt 1):437～ 41．
  • 10de la Pena J, Rivero M, Sanchez E et al. Variceal ligation compared withendoscopic sclerotherapy for variceal hemor rhage: prospective randomized trial.Gastrointest Endosc 1999,49 :417－ 423．

共引文献11

同被引文献16

  • 1张晓岚,姜慧卿.门静脉高压症的药物治疗[J].临床荟萃,2002,17(24):1482-1483. 被引量：1
  • 2姜慧卿.肝硬化食管静脉曲张首次破裂出血的预防[J].临床肝胆病杂志,1995,11(3):124-126. 被引量：3
  • 3[1]Luketic VA, Sanyal AJ. Esophageal Varices. I Clinical presentation, medical therapy, and endoscopic therapy.Gastroenterol clin North Am, 2000,29 (2) : 337～ 385
  • 4[11]Lo GH, Lai KH, Chen JS, et al. Endoscopic variceal Ligation plus nadolol and sucralfate compared with Ligation alone for the prevention of variceal rebloeal rebleeding: a prospective, randomized trial. Hepatology,2000,32:461～465
  • 5[12]Laine L, Cook D. Endoscopic ligation compared with sclerntherapy for treatment of esophageal variceal bleeding: A meta-analysis. Am Iterm med, 1995, 123(4) : 280～287
  • 6[13]Bass NM,somberg KA. portal hypertension and gastrointestinal bleeding In: Fedman M, Scharschmidt BF,Sleisenger MH. Sleisenger & Fordrtan's Gastrointestial and Liver Disease.北京:科学出版社,2001,128～129
  • 7[14]Lay cs, Tsai YT, Teg CY, et al. Endoscopic variceal ligation in prophylaxis of first variceal bleeding in cirrhotic patients with high-risk esophageal varices.Hepatology, 1997,25(6): 1346～ 1350
  • 8程留芳,王志强,令狐恩强,刘迎娣,柴国君,江华.经内镜注射组织粘合剂治疗食管胃静脉曲张[J].中华消化内镜杂志,1999,16(2):88-90. 被引量：44
  • 9何勇,周峻.门脉高压症治疗观点之辩[J].医学与哲学,2000,21(3):11-13. 被引量：1
  • 10于皆平,黄杰安.食管胃底静脉曲张结扎术的评价[J].中华消化内镜杂志,2000,17(4):252-254. 被引量：9

引证文献2

二级引证文献3

疑难病杂志
2002年 第3期

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