肝硬化胃食管静脉曲张和静脉曲张出血的预防和处理:指南

J. F. Botha
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引用次数: 0

摘要

门静脉高压症任何慢性肝病的晚期是由以下原因引起的:(1)由于(a)纤维组织和再生结节造成的肝脏结构扭曲导致的血流阻力增加(b)由于内源性NO生成减少导致的肝内血管收缩活跃(2)由于内脏小动脉血管扩张导致的门静脉流入增加以及(3)通过比正常肝脏提供更大的血流阻力的侧枝导致的门静脉减压不足。
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SAGES Guidelines Prevention and management of gastro-oesophageal varices and variceal haemorrhage in cirrhosis : guidelines
Portal hypertension, the end stage of any chronic liver disease, is caused by (1) an increased resistance to blood flow due to (a) architectural distortion of the liver by fibrous tissue and regenerative nodules (b) active intra-hepatic vaso-constriction due to decreased endogenous production of NO (2) increased portal venous inflow due to splanchnic arteriolar vasodilatation and (3) insufficient portal de-compression through collaterals which offer greater resistance to flow than does the normal liver.
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South African Gastroenterology Review
South African Gastroenterology Review Medicine-Gastroenterology
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