《2016年美国肝病学会肝硬化门静脉高压出血的风险分层、诊断和管理实践指导》解读

Interpretation of Portal Hypertensive Bleeding in Cirrhosis: Risk Stratification, Diagnosis and Management: 2016 Practice Guidance by the American Association for the Study of Liver Diseases

由于肝硬化的病程、静脉曲张的解剖位置、合并症等因素的不同,肝硬化门脉高压出血患者需慎重选择诊断、治疗及预防再出血的方法.2016年美国肝病学会根据大量临床研究数据,对该病的诊断、治疗和预防提供了指导意见.通过对该实践指导的解读以及对比中国的实践指南,以期获得药物治疗新亮点,从而解决与肝脏疾病相关的临床问题.

Hemorrhage resulting from high pressure of portal vein is a common complication of decompensated liver cirrhosis.Because of different courses,anatomic locations of varicose vein and complications,patients with cirrhosis need to be prudent in their choice of methods for diagnosis,treatment and prevention of rebleeding.Portal Hypertensive Bleeding in Cirrhosis:Risk Stratification,Diagnosis and Management:2016 Practice Guidance by the American Association for the Study of Liver Diseases,which is based on a great deal of clinical data,may serve as a guideline for clinical practice in China as well.This paper,through close reading of the practice guidance,and through comparative analysis between the American guidance and that in China,hopes to shed some new light for medical practitioners on the handling of various problems connected with liver diseases.