肝硬化门静脉高压症围术期处理策略

基金项目: 国家自然科学基金面上项目(81570545)

Perioperative management of cirrhotic portal hypertension

Department of Pancreaticobiliary Surgery,Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China

摘要:
肝硬化门静脉高压症合并食管胃底静脉曲张破裂出血的围术期处理是否合理，直接影响疾病治疗效果和患者生命质量。根据患者个体特点，结合术者经验，保证正确、全面的术前准备，依据术前和术中门静脉系统血流动力学变化，选择合理的手术方式，是个体化治疗的核心，以及精细的术后处理，可提高门静脉高压症手术效果。
- 肝硬化 /
- 门静脉高压症 /
- 外科手术 /
- 围术期
Abstract:
It is related to the treatment effect of the disease and the quality of life of the patient that perioperative management of ruptured esophagogastric varices bleeding with portal hypertension. According to the individual characteristics of the patient combined with the experience of the surgeons, the key points of individualized treatment consist of accurate and comprehensive preoperative preparation, fine post-operative treatment, and the changes of pre-and post-operative hemo-dynamics of portal vein system to choose a reasonable procedure, meanwhile, the delicate postoperative managements can improve the surgical effect of portal hypertension.
- Liver cirrhosis /
- Portal hypertension /
- Surgical procedures /
- operative /
- Perioperative period