[Bleeding in liver diseases]. / Blutungen bei Lebererkrankungen.
Med Klin Intensivmed Notfmed
; 2024 Aug 13.
Article
de De
| MEDLINE
| ID: mdl-39138654
ABSTRACT
Bleeding events are feared complications in patients with advanced liver diseases and are associated with morbidity and mortality. In this context, gastrointestinal bleeding, particularly upper gastrointestinal bleeding, has a special clinical importance. In addition to endoscopic measures for hemostasis, reducing portal pressure in particular is a key component of treatment. Although the standard coagulation parameters are often altered in patients with liver diseases, optimizing coagulation plays a secondary role. Typically, a bundle of measures are employed in patients with portal hypertensive bleeding, which nowadays in most cases can halt the bleeding and stabilize the situation. The measures include endoscopy, antibiotic treatment, vasopressor treatment and, if necessary, shunt placement (transjugular intrahepatic portosystemic shunt).
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Langue:
De
Journal:
Med Klin Intensivmed Notfmed
Année:
2024
Type de document:
Article
Pays de publication:
Allemagne