肝硬化曲张性静脉出血治疗研究进展

Research Progress in the Treatment of Varicose Venous Hemorrhage in Cirrhosis

门静脉高压是晚期肝硬化主要的结局并引发严重的并发症。曲张性静脉出血是门静脉高压患者的主要并发症之一,是消化内科中主要的急重症,致死率高,是肝硬化患者死亡的主要因素。目前临床上治疗肝硬化曲张性静脉出血的方法不断推陈出新,治疗技术取得较大进展,治疗技术主要包括药物治疗、内镜治疗、介入治疗。本文主要对临床主要治疗方法的安全性、有效性、研究进展进行综述,以期对临床治疗肝硬化静脉曲张出血的选择提供合理的思路。

Portal hypertension is the main outcome of advanced cirrhosis and leads to serious complications. Varicose venous hemorrhage is one of the main complications in patients with portal hypertension. It is a major acute and severe disease in the department of gastroenterology with high fatality rate and is the main factor of death in patients with cirrhosis. At present, the clinical methods for the treatment of varicose venous hemorrhage in cirrhosis are constantly updated, and great progress has been made in treatment techniques, including drug therapy, endoscopic therapy and interven-tional therapy. This article mainly reviews the safety, effectiveness and research progress of main clinical treatment methods, in order to provide reasonable ideas for the selection of clinical treat-ment for varicose hemorrhage in cirrhosis.