[精品]外科实证医学课程.pptVIP

外科實證醫學課程;執行EBM的五個步驟 ( I );執行EBM的五個步驟 ( II ) ;Case;Background Knowledge;;Portal pressure (5-8mmHg) Esophagogastric varices : coronary short gastric v. to azygos v. Caput medusae : epigastric v. Retroperitoneal callateral vessels Hemorrhoid venous plexus Intrahepatic shunts;Esophageal Varices;A. Noninterventional 1. Vasopressin, terlipressin 2. Somatostatin 3. Balloon tamponade B. Interventionsal, nonsurgical 4. Endoscopic sclerotherapy 5. Endoscopic ligation C. Surgical 6. Emergency portasystemic shunts 7. Esophageal transection and reanastomosi