Loudin Michael, Ahn Joseph
Division of Gastroenterology and Hepatology, Oregon Health & Science University, Portland, OR.
J Clin Gastroenterol. 2017 Aug;51(7):579-585. doi: 10.1097/MCG.0000000000000834.
Portal vein thrombosis (PVT) in the cirrhotic population is a challenging clinical phenomenon requiring a nuanced management approach. Uncertainty exists regarding the clinical significance of PVT in the cirrhotic population because the data for PVT are based mainly on retrospective, small cohort studies. Therefore, strong recommendations regarding the optimal timing, modality, and duration of therapy for PVT in the cirrhotic population cannot be made. However, this review aims to summarize the current literature and provide stepwise guidance in diagnosing and managing PVT in patients with cirrhosis.
肝硬化患者的门静脉血栓形成（PVT）是一个具有挑战性的临床现象，需要细致入微的管理方法。由于PVT的数据主要基于回顾性、小队列研究，因此肝硬化患者中PVT的临床意义尚不确定。因此，无法就肝硬化患者PVT治疗的最佳时机、方式和持续时间提出强有力的建议。然而，本综述旨在总结当前文献，并为肝硬化患者PVT的诊断和管理提供逐步指导。
