Baveno指标在门静脉高压出血风险筛查中的研究进展及其在晚期血吸虫病中的应用前景分析

门静脉高压是危害中国700多万肝硬化病人临床预后的最主要原因，食管胃底静脉曲张破裂出血是其最常见的致死性并发症，所以建立与完善门静脉高压出血风险监测和管理制度，尤为迫切。Baveno共识是国际上最具权威的门静脉高压症临床诊断指南，其所提供的Baveno指标(肝静脉压力梯度、肝硬度测定值、血小板计数以及内镜检查)对门静脉高压和静脉曲张出血的筛查和检测都有着重要的临床指导意义。本研究通过对Baveno指标在门静脉高压出血风险筛查中的研究与应用进展进行综述，以期能够更好地了解各个指标的优缺点及目前该领域的研究现状，为优化、开发更加有效的筛查方法与指标提供参考，特别是为晚期血吸虫病人门静脉高压出血风险筛查提供依据。

Research progress on Baveno index for the screening of risk of portal hypertensive bleeding and analysis on its application prospect in advanced schistosomiasis

Portal hypertension is the main cause affecting the clinical prognoses of more than seven million cirrhotic patients in China, and rupture and bleeding from gastroesophageal varices is the most common fatal complication. Therefore, it is particularly urgent to establish and improve the risk screening and management system for portal hypertensive bleeding. Baveno consensus is the most authoritative international guideline for clinical diagnosis of portal hypertension, and Baveno index (including hepatic venous pressure gradient, liver hardness measurement, platelet count and endoscopy) based on Baveno consensus has important clinical guiding significance for the screening and detection of portal hypertension and gastroesophageal varices bleeding. This review summarizes the research and application progress on Baveno index for the screening of risk of portal hypertensive bleeding so as to better understand the strengths and weaknesses of all the indexes and the current research status in this field and provide references for optimizing and developing more effective screening methods and indexes, especially for the screening of risk of portal hypertension bleeding in patients with advanced schistosomiasis.