肝硬化门静脉高压食管胃静脉曲张出血的防治指南

中华内科杂志2023年1月第62卷第1期Chin J Intem Med.January2023,Vl.62.No.1·7·标准与讨论·肝硬化门静脉高压食管胃静脉曲张出血的防治指南中华医学会肝病学分会中华医学会消化病学分会中华医学会消化内镜学分会通信作者：徐小元，北京大学第一医院消化内科，北京100034，Email:xiaoyuanxut6@163.com;唐承薇，四川大学华西医院消化内科，成都610041，Email:sheqedmed@163.com;令孤思强，解放军总医院第一医学中心消化内科医学部，北京100039，Email:linghuenqiang@vip.sina.com【摘要】为了规范肝硬化门静脉高压食管胃静脉曲张出血的诊断、治疗和管理，中华医学会肝病学分会、中华医学会消化病学分会和中华医学会消化内镜学分会组织国内有关专家，结合近年来国内外肝硬化门静脉高压食管胃静脉曲张出血相关临床研究的最新进展，遵循循证医学的证据，修订了《肝硬化门静脉高压食管胃静脉曲张出血的防治指南》，对肝硬化门静脉高压食管胃静脉曲张出血的诊断、治疗和管理提出了推荐意见，旨在提高临床医生对于肝硬化门静脉高压食管胃静脉曲张出血的临床救治水平。【关键词】指南；管理；食管胃静脉曲张出血；肝硬化；门静脉高压Guidelines on the management of esophagogastric variceal bleeding in cirrhotic portalhypertensionChinese Society of Hepatology,Chinese Society of Gastroenterology,Chinese Society of DigestiveEndoscopology of Chinese Medical AssociationCorresponding authors:Xu Xiaoyuan,Department of Gastroenterology,Peking University First Hospital,Beijing 100034,China,Email:xiaoyuanxu6@163.com;Tang Chengwei,Department ofGastroenterology,West China Hospital,Sichuan University,Chengdu 610041,China,Email:shcqcdmed@163.com;Linghu Engiang,Department of Gastroenterology,the First Medical Center ofChinese PLA General Hospital,Beijing 100039,China,Email:linghuenqiang@vip.sina.comAbstract]In order to standardize the diagnosis,treatment and management ofesophagogastric variceal bleeding (EVB)in cirrhotic portal hypertension,the Chinese Society ofHepatology,Chinese Society of Gastroenterology,and Chinese Society of Digestive Endoscopology ofChinese Medical Association organized relevant experts,reviewed domestic and international latestprogress in clinical research on EVB in cirrhotic portal hypertension,and followed the evidence ofevidence-based medicine to update the Guidelines on the Management of EVB in Cirrhotic PortalHypertension.The guideline provides recommendations for the diagnosis,treatment andmanagement of EVB in cirrhotic portal hypertension and aims to improve the level of clinicaltreatment of EVB in cirrhotic portal hypertension.【Key words】Guideline;Management;Esophagogastric variceal bleeding:Cirrhosis;Portal hypertension本文首发在中华肝脏病杂志2022年10期D01:10.3760/cma.i.cn501113-20220824-00436收稿日期2022-08-24本文编辑刘雪松引用本文：中华医学会肝病学分会，中华医学会消化病学分会，中华医学会消化内镜学分会.肝硬化门静脉高压食管胃静脉曲张出血的防治指南U中华内科杂志，2023,62(1k7-22.D01:10.3760/majcm501113-20220824-00436