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食管胃底静脉曲张破裂大出血是门脉高压症最严重和最难处理的并发症,病死率很高。对于出血量不大的第一次出血病人,一般都采用非手术疗法治疗,使病人渡过急性期,然后作护肝治疗,以提高肝脏储备能力,改善全身状况,争取作择期手术。这样能使手术安全性增加,疗效提高。但对于多次出血的病人,或经非手术疗法不能达到止血效果时,只要不处于肝昏迷状态,即使有腹水和轻度黄疸也要争取作急症手术,以挽救病人生命。
Esophageal varices bleeding is the most serious and most difficult complication of portal hypertension, high mortality. For the first bleeding patients with small amounts of bleeding are generally non-surgical treatment, the patient through the acute phase, and then for liver treatment, to improve liver reserve capacity, improve the general condition and strive for elective surgery. This will enable surgery to increase safety and efficacy. But for patients with multiple bleeding, or non-surgical treatment can not achieve the effect of hemostasis, as long as not in a hepatic coma state, even with ascites and mild jaundice also strive for emergency surgery to save the patient’s life.