《2015年欧洲肝病学会临床实践指南:肝脏血管病》摘译

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肝脏血管病患病率约为5/10000,可导致非肝硬化门静脉高压,增加病死率。另外,肝脏血管病患者通常很年轻,如不及时采取充分的治疗措施,生活质量及生存时间均会受到严重影响。由于肝脏血管病患病率低且研究数量少,相关知识更新较慢。近年来,该病已逐渐受到重视。欧洲肝病学会(European Association for the Study of the Liver,EASL)于2012年6月在塔林围绕肝脏血管病这一主题举办了一场会议,并制订了相关临床实践指南。该指南主要涉及以下肝脏血管疾病:布加综合征(Budd-Chiari syndrome,BCS)、非肝硬化门静脉血栓(portal vein thrombosis,PVT)、特发性非肝硬化门静脉高压(idiopathic non-cirrhotic portal hypertension,INCPH)、肝窦阻塞综合征(sinusoidal obstruction syndrome,SOS)、遗传性出血性毛细血管扩张症(hereditary haemorrhagic telangiectasia,HHT)的肝脏血管畸形以及肝硬化PVT。指南中,证据强度及推荐级别参照GRADE系统(表1)。
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