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Evaluation on treatment of liver cirrhosis with portal hypertension
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- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 14
- DOI:
- 10.3969/j.issn.1009-3079.2007.14.001
- Key Word:
- 门脉高压症;心得安;生长抑素及其类似物;经颈静脉肝内门腔分流术;内镜治疗
Abstract： 心得安推荐作为预防Child A或B级肝硬化患者中-重度静脉曲张初次出血;生长抑素及其类似物为急性食管胃底静脉曲张出血(EVB)的首选药物,控制出血疗效85%-90%;心得安或联合5-单硝异山梨醇、内镜下套扎或硬化剂可作为预防静脉曲张再出血的方法;经颈静脉肝内门腔分流术(TIPS)仅为Child B或C级患者准备肝脏移植的过度.内科联合治疗方法的评价需要循症医学的证据,轻度静脉曲张及早期门脉高压的治疗策略仍需要进一步研究.
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