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肝硬化门静脉血栓管理专家共识(2020年,上海)

中华医学会消化病学分会肝胆疾病学组

引用本文:
Citation:

肝硬化门静脉血栓管理专家共识(2020年,上海)

DOI: 10.3969/j.issn.1001-5256.2020.12.007
详细信息
  • 中图分类号: R575.2

Consensus for management of portal vein thrombosis in liver cirrhosis(2020,Shanghai)

  • 摘要:

    <正>门静脉血栓(portal vein thrombosis,PVT)是指门静脉主干和(或)门静脉左、右分支发生血栓,伴或不伴肠系膜静脉和脾静脉血栓形成。急性PVT易导致肠系膜缺血,甚至肠坏死等严重不良结局;慢性PVT可导致门静脉闭塞或门静脉海绵样变性,继发门静脉高压。肝硬化患者PVT发病隐匿,常在体格检查或筛查肝癌过程中偶然被发现,需要与恶性肿瘤导致的癌栓鉴别。由于肝硬化本身存在凝血功能障碍和出血风险的矛盾,肝硬化PVT患者的抗凝治疗难以实施。

     

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