肝硬化门静脉高压症食管、胃底静脉曲张破裂出血诊治专家共识(2019版)

Expert consensus on diagnosis and treatment of esophagogastric variceal bleeding in cirrhotic portal hypertension(2019 edition)

门静脉高压症是一组由多种原因导致门静脉压力持久增高所引起的综合征,肝硬化是其最常见的原因.肝硬化门静脉高压症最基本的病理生理学特征是门静脉血流受阻导致门静脉压力增高及侧支循环开放.而在肝硬化门静脉高压症众多临床表现中,食管、胃底静脉曲张破裂出血最为紧急,且病死率最高.为了规范肝硬化门静脉高压症食管、胃底静脉曲张破裂出血的诊治流程,中华医学会外科学分会脾及门静脉高压外科学组组织相关专家修订更新2015版《肝硬化门静脉高压症食管、胃底静脉曲张破裂出血的诊治共识》,旨在为临床医师选择最佳的治疗方案提供参考.

Portal hypertension is a clinical syndrome which is a consequence of a pathological increase in portal vein pressure due to various causes,among which,cirrhosis being the most common cause.The most basic pathophysiological features of portal hypertension in cirrhosis are increased portal vein pressure due to blocked portal vein blood flow and open collateral circulation.Among the clinical manifestations of portal hypertension in cirrhosis,esophageal and gastric fundus varicose bleeding is the most urgent and the mortality rate is the highest.In order to standardize the diagnosis and treatment plan of esophagogastric variceal bleeding in cirrhotic portal hypertension,the Chinese Society of Spleen and Portal Hypertension Surgery,Chinese Society of Surgery,have renewed and revised this consensus on diagnosis and treatment of esophagogastric variceal bleeding in cirrhotic portal hypertension(2015 edition)hope to provide references for the clinical practices.