相关实验视频

Updated: Jan 18, 2026

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices

Endoscopic Injection Sclerotherapy Assisted by Cyanoacrylate and Clips for Gastroesophageal Varices

Published on: June 13, 2025

在SARS-CoV-2大流行期间急性水出血:国家多中心观察研究

Gabriel Allo¹, Stefanie Quickert², Karsten Große³

¹Department for Gastroenterology and Hepatology, Faculty of Medicine, University Hospital of Cologne, University of Cologne, 50937 Cologne, Germany.

Journal of clinical medicine

|September 13, 2025

概括

在德国,COVID-19大流行并没有显著影响急性水出血 (AVB) 患者的治疗结果. 对AVB的管理实践仍然具有弹性,尽管跨内肝移植系统 (TIPS) 的使用增加了.

科学领域:

肝病学肝病学是一种肝病学.
胃肠病学胃肠病学
传染性疾病传染性疾病

背景情况:

COVID-19大流行给全球医疗保健系统带来了挑战.
人们对其对慢性肝病患者的影响感到担忧,特别是肝脏衰竭,如急性水出血 (AVB).

研究的目的:

评估COVID-19大流行对德国AVB的肝硬化患者临床结果的影响.
为了比较疫情前和疫情期间的患者结果.

主要方法:

追溯性国家多中心研究.
在四个德国高等医疗中心治疗的肝硬化和AVB患者的比较.
数据收集自大流行前 (2016-2020) 和大流行 (2020-2022) 期间的数据.

主要成果:

在6周死亡率 (32.2%对30.1%) 或再出血率 (22.8%对22.3%) 中,期间之间没有显著差异.
可以比较的感染率,ICU住院和输管.
在大流行期间,越来越多地使用跨内肝移植系统分流 (TIPS) 放置 (23.2%对11.3%).
在大流行期间,代谢功能障碍相关的脂肪性肝病 (MASLD) 的患病率更高.

结论:

与AVB相关的患者结局在很大程度上不受德国三级中心COVID-19大流行的影响.
关键的AVB管理实践表明了弹性.
增加TIPS的使用率和MASLD的流行率需要进一步调查不断变化的临床实践和患者个人资料.

关键词:

在 COVID-19 疫情中,发生急性水出血.肝硬化是肝硬化的一种疾病.流行病是一种流行病.门高血压门高血压上部胃肠道出血胃肠道上部出血

更多相关视频

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices

Published on: August 1, 2025

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

相关概念视频

Esophageal Varices-II: Clinical Features and Management

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...

Esophageal Varices-I: Introduction

Esophageal Varices-I: Introduction

Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies

The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...