《肝硬化门静脉高压症食管、胃底静脉曲张破裂出血诊治专家共识(2025版)》解读OA
Interpretation of expert consensus on diagnosis and treatment of esophagogastric variceal bleeding in cirrhotic portal hypertension(2025 edition)
肝硬化门静脉高压症是因肝硬化造成门静脉系统压力持续性增高而引发的一组临床综合征,并可引起一系列并发症.其中,食管、胃底静脉曲张破裂出血因发生紧急、病死率高,已成为门静脉高压症最严重的并发症之一.自《肝硬化门静脉高压症食管、胃底静脉曲张破裂出血诊治专家共识(2019版)》发布以来,国内外在该领域的研究已取得显著进展.为制定符合我国国情的专家共识,中华医学会外科学分会相关专家组织并编撰《肝硬化门静脉高压症食管、胃底静脉曲张破裂出血诊治专家共识(2025版)》.本文将解读新版共识的更新要点,探讨新、旧版共识的主要差异,旨在强化临床医生对新版共识的理解,为临床医生在相关工作中提供借鉴和参考.
Cirrhotic portal hypertension is a clinical syndrome caused by persistently elevated portal venous pressure due to liver cirrhosis and can lead to a series of complications,among which esophagogastric variceal bleeding has become one of the most severe complications due to sudden onset and a high mortality rate.Since the release of Expert consensus on diagnosis and treatment of esophagogastric variceal bleeding in cirrhotic portal hypertension(2019 edition),significant advances have been achieved in this field in China and globally.In order to formulate an expert consensus aligned with the situation of China,Chinese Society of Surgery,Chinese Medical Association organized and compiled Expert Consensus on diagnosis and treatment of esophagogastric variceal bleeding in cirrhotic portal hypertension(2025 edition).This article elaborates on the key updates in the new edition and explores the major differences between the old and new editions,in order to enhance the understanding of the new edition among clinicians and provide a reference for clinicians in clinical work.
范钟辰;张凯旋;张阳;曹学峰;张兴元
滨州医学院附属医院肝胆外科,山东 滨州 256603滨州医学院附属医院肝胆外科,山东 滨州 256603滨州医学院附属医院肝胆外科,山东 滨州 256603滨州医学院附属医院肝胆外科,山东 滨州 256603滨州医学院附属医院肝胆外科,山东 滨州 256603
肝硬化高血压,门静脉食管和胃静脉曲张诊断治疗学共识
Liver CirrhosisHypertension,PortalEsophageal and Gastric VaricesDiagnosisTherapeuticsConsensus
《临床肝胆病杂志》 2026 (3)
568-572,5
山东省级临床重点专科建设项目(SLCZDZK-0701) Shandong Provincial Clinical Key Specialty Construction Project(SLCZDZK-0701)
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