肝衰竭并发消化道出血的诊断与治疗策略

doi:10.3969/j.issn.1672-5069.2014.02.026

摘要/Abstract

摘要： 严重的凝血功能障碍所导致的胃肠道黏膜弥漫性出血以及不同程度的食管胃静脉曲张、门脉高压性胃病以及下消化道异位静脉曲张是肝衰竭并发消化道出血的重要原因，其病情危重，预后极差，病死率高。本文对肝衰竭并发消化道出血与单纯的消化道出血的临床鉴别要点、肝衰竭并发消化道出血的疾病谱以及诊断进行了简要阐述，重点对其治疗的策略及相关进展进行了讨论，同时提出了以药物、内镜下治疗、TIPS等多种治疗方法为依托的综合治疗策略的概念。

关键词: 肝衰竭, 消化道出血, 疾病谱, 诊断治疗

Abstract: Liver failure related gastrointestinal bleeding includes diffuse hemorrhage of the gastrointestinal mucosa caused by serious coagulation dysfunction,esophageal gastric varices, portal hypertension gastropathy and digestive tract ectopic varices. This review provides an overview of clinical differential characteristics between liver failure related gastrointestinal bleeding and simple gastrointestinal bleeding，disease spectrum，diagnosis and treatment.

Key words: Liver failure, Gastrointestinal bleeding, Disease spectrum, Diagnosis, Treatment

孙文静综述，陈东风审校. 肝衰竭并发消化道出血的诊断与治疗策略[J]. 实用肝脏病杂志, 2014, 17(2): 202-205.

Sun Wenjing,Chen Dongfeng.. Diagnosis and treatment strategy of patients with liver failure and gastrointestinal bleeding[J]. JOURNAL OF PRACTICAL HEPATOLOGY, 2014, 17(2): 202-205.

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