肝硬化门静脉血栓治疗方法的研究

Study on the Treatment of Portal Vein Thrombosis in Liver Cirrhosis

门静脉血栓是肝硬化失代偿期严重的并发症之一,临床症状缺乏特异性。目前普遍认为血流动力及凝血功能出现异常是引发门静脉血栓的主要发病机制之一。超声检查是门静脉血栓的首选检查方法,抗凝治疗是主要的治疗方式之一,但目前仍存在着抗凝时间窗的选择、药物剂量等诸多问题。本文就门静脉血栓得诱发因素以及治疗作一综述,以期为临床更好治疗提供参考依据。

Portal vein thrombosis is one of the serious complications of decompensated liver cirrhosis,and the clinical symptoms lack specificity.At present,it is generally believed that abnormal hemodynamic and coagulation function is one of the main pathogenesis of portal vein thrombosis.Ultrasound examination is the first choice for portal vein thrombosis.Anticoagulation is one of the main treatment methods.However,there are still many problems such as the choice of anticoagulation time window and drug dosage.This article reviews the predisposing factors and treatment of portal vein thrombosis in order to provide a reference for better clinical treatment.