摘要门静脉高压,作为一种常见而复杂的肝血管疾病,是肝硬化失代偿诸多急性事件及向多器官功能衰竭发展的重要病理生理环节。经颈静脉肝内门体静脉分流术(TIPS)是降低门静脉高压的最有效措施,早期TIPS对于肝功维护、减少并发症、改善患者生活质量及生存时间具有积极意义。肝硬化患者门静脉血栓(PVT)风险较普通人群提高1 000倍,肝血窦阻塞综合征(HSOS)临床病程凶险,死亡风险大,抗凝及TIPS是治疗PVT及HSOS的主要方法。为肝移植创新的磁吻合血管技术,显著缩短了无肝期,术后患者肝功能恢复良好。
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abstractsPortal hypertension, as a common and complex hepatic vascular disease, is a key pathophysiological link in many events of acute cirrhosis decompensation and the progression of multiple organ failure. The most effective measure to reduce portal hypertension is a transjugular intrahepatic portosystemic shunt (TIPS). Maintaining liver function, reducing complications, and improving patients' quality of life and survival time are positively impacted by early TIPS insertion. Patients with cirrhosis have a risk of portal vein thrombosis (PVT) that is 1 000 times higher than that of the normal population. Hepatic sinusoidal obstruction syndrome has a severe clinical course and a high mortality risk. The primary treatment approaches for PVT and HSOS are anticoagulation and TIPS. The innovative magnetic anastomosis vascular technique significantly shortens the anhepatic time and restores normal liver function in patients following liver transplantation.
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