首页|综合医院MDT模式下肝硬化门静脉高压症患者全病程管理的探讨

综合医院MDT模式下肝硬化门静脉高压症患者全病程管理的探讨

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门静脉高压症是因门静脉系统压力增高而导致的临床综合征,其诊断及治疗涉及领域众多。在常规诊疗方法中,单学科诊疗存在片面性和局限性,分科诊疗机制影响了诊疗效果;在临床实践中,对此类患者的管理存在轻预防、重治疗、管理疏散及不系统的问题。多学科协作(MDT)诊疗高效整合医院资源、充分发挥各相关学科专业优势,有望为患者制定规范化、个性化的最佳治疗方案;全病程管理注重于将治疗端口前移,治病同时治未病,预防为主,有利于最大程度地减少患者不良事件的发生风险,提高其生存质量。本文通过对临床诊疗经验及相关文献的讨论及归纳总结,提出对肝硬化门静脉高压症患者进行MDT全病程管理的理念,希望通过这种管理模式改善患者的预后。
Discussion on the whole course management of cirrhotic portal hypertension patients under MDT mode in comprehensive hospital
Portal hypertension is a clinical syndrome caused by increased pressure of portal vein system,and its diagnosis and treatment involve many fields.In the conventional diagnosis and treatment methods,the single-disciplinary diagnosis and treatment has one-sidedness and limitations,and the departmental diagnosis and treatment mechanism affects the diagnosis and treatment effect;in clinical practice,the management of such patients has the problems of light prevention,heavy treatment,management evacuation and no system.Multi-disciplinary team(MDT)can effectively integrate hospital resources and give full play to the advantages of various related disciplines,which is expected to formulate standardized and individualized optimal treatment plans for patients;the whole course of disease management focuses on moving the treatment port forward,treating the disease while preventing illness,and focusing on prevention,which is conducive to minimizing the risk of adverse events and improving the quality of life of patients.Through the discussion and summary of clinical diagnosis and treatment experience and relevant literature,this article proposes the concept of MDT whole course management for patients with cirrhotic portal hypertension,hoping to improve the prognosis of patients through this management model.

cirrhosisportal hypertensionmulti-disciplinary teamwhole course management

李斌华、谢峰、闫雪华、陈小勇、李雷、王文青

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兰州市第二人民医院,甘肃兰州,730030

兰州市妇幼保健院,甘肃兰州,730000

兰州大学第一医院,甘肃兰州,730013

肝硬化 门静脉高压症 多学科协作 全病程管理

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)