BMJ Best Practice
最后审核时间： 十月 2018
最近更新时间： 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 静脉曲张破裂出血危险因素的存在
  • 肝硬化
  • 更严重的肝脏疾病
  • 酗酒
全部具体信息

其他诊断因素

  • 脾大
全部具体信息

危险因素

  • 门静脉高压症
  • 粗大的静脉曲张
  • 红痕征
  • Child-Pugh分级
全部具体信息

诊断性检查

首要检查

  • 血常规
  • 凝血功能（INR/凝血酶原时间）
  • 血清肝功能检查
  • 尿素和肌酐
全部具体信息

新兴检查

  • 胶囊内窥镜
全部具体信息

治疗流程

急性

肝硬化合并急性食管胃底静脉曲张破裂出血

肝硬化合并急性食管胃底静脉曲张破裂出血，内镜/药物治疗失败

疾病持续状态

肝硬化未合并出血风险增加的静脉曲张

未发生破裂出血的细小食管胃底静脉曲张

未发生破裂出血的中等至粗大食管胃底静脉曲张

既往有食管胃底静脉曲张破裂出血史

贡献者

作者 查看所有

Chief of Gastroenterology

Department of Gastroenterology

Ospedale V. Cervello

Palermo

Italy

利益冲突披露
GDA declares that he has no competing interests.

Consultant Gastroenterologist

Department of Gastroenterology

Ospedale V. Cervello

Palermo

Italy

利益冲突披露
GM declares that he has no competing interests.

Dr Gennaro D'Amico and Dr Giuseppe Malizia would like to gratefully acknowledge Dr Vikram Boolchand and Dr Thomas Boyer, the previous contributors to this monograph. VB and TB declare that they have no competing interests.

同行评议专家 查看所有

Instructor in Medicine

Harvard Medical School

Director of Clinical Research

The Celiac Center

Beth Israel Deaconess Medical Center

Boston

MA

利益冲突披露
DL declares that he has no competing interests.

Instructor in Medicine

Liver Center

Beth Israel Deaconess Medical Center

Harvard Medical School

Boston

MA

利益冲突披露
GLB declares that he has no competing interests.

Director of Internal Medicine

Policlinico of Internal Medicine

University of Milan

Milan

Italy

利益冲突披露
FS declares that he has no competing interests.

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