肝硬化门静脉高压的临床 肝硬化门静脉高压出血介入治疗
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  • [门静脉穿刺技术] 经颈静脉门静脉穿刺术 日期:2021-08-30 23:01:01 点击:665

    关于标记门静脉 在长期的临床应用中,TIPS介入医生始终在尝试,使这一基本靠蒙的盲目的的操作,变得更为有目标性,从而缩短操作时间并增加其安全性。用于穿刺门静脉标记方法包括术前经皮门脉内植入标志物,作为经颈静脉穿刺门静脉的方向标志;实时超声引导,...

  • [可控扩张支架] 可控TIPS支架 日期:2021-08-30 22:55:08 点击:99

    Controlled expansion stents: 控制扩张支架: Recently, a new controlled expansion stent has been introduced into clinical practice by Gore and associates (Viatorr controlled expansion endoprosthesis; VCX, Flagstaff, AZ, United States), whic...

  • [TIPS支架被动扩张和目标PSPG下降] TIPS技术:随TIPS被动扩张导致目标PSPG下降 日期:2021-08-29 17:59:58 点击:99

    Target PSPG reduction and passive expansion of under dilated TIPS stents: It has been found that barring few exceptions, patients with de novo or worsening HE after TIPS had PSPG of 12 mmHg, while those with rebleeding often had stent dysf...

  • [心肺状态] TIPS 术前评估:心肺状况 日期:2021-08-25 14:48:49 点击:99

    In advanced stages of cirrhosis, structural, and functional cardiac abnormalities occur. 在肝硬化的晚期,会发生结构上和功能上的心脏异常。 This cirrhosis associated cardiomyopathy (CCM) leads to impaired contractile responsiveness to stress...

  • [年龄] TIPS患者选择的考虑(适应症) 日期:2021-08-25 08:53:47 点击:99

    Initial studies identified advanced age as an independent predictor of early mortality after TIPS, attributing it to age-related physiologic decline in hepatic functional reserve, which might not be picked up on routine laboratory tests[16...

  • [新辅助TIPS] TIPS适应症:外科术前/新辅助TIPS 日期:2021-08-18 15:55:53 点击:99

    Extrahepatic surgery is associated with higher postoperative morbidity and mortality in patients with cirrhosis[137]. 肝外手术与肝硬化[137]患者术后发病率和死亡率较高相关。 The reported mortality is between 10% to 30%, while the perioperativ...

  • [乳糜胸腹水] TIPS适应症:乳糜腹水和乳糜胸水 日期:2021-08-16 22:41:28 点击:99

    Of all cases of cirrhosis-related ascites, only 0.5%-1% is chylous[112]. The underlying mechanism is believed to be excessive hepatic and gastrointestinal lymph flow and pressure secondary to PH, which may lead to spontaneous rupture of ser...

  • [门脉高压胃/肠病] TIPS适应症:门脉高压胃病 日期:2021-08-11 11:09:33 点击:99

    PHG is characterized by vascular ectasia, which appears as a mosaic-like pattern of gastric mucosa on endoscopy[58,59]. PHG的特点是血管扩张,在内镜[58,59]上呈胃黏膜马赛克样模式。 The reported prevalence of PHG ranges from 20%-98% in patien...

  • [异位静脉曲张出血] TIPS适应症:异位静脉曲张 日期:2021-08-11 08:09:14 点击:99

    The term ectopic varices are used to describe portosystemic collaterals located at sites other than the gastroesophageal region. 异位静脉曲张一词被用来描述位于胃食管区域以外部位的门体侧支。 Stomal varices are the most common, followed by s...

  • [孤立性胃静脉曲张] TIPS适应症:孤立性胃静脉曲张 日期:2021-08-11 08:07:54 点击:99

    已知孤立性胃静脉曲张存在于门静脉高压患者100多年【1】,然而只在过去20年才开始研究。很多问题依然未知。 1. 门静脉高压患者胃静脉曲张精确发生率 2. 几乎没有关于胃静脉曲张的自然病史信息。 3. 胃静脉曲张出血来自有或没有食道静脉曲张的确切情况不清 胃...

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