How to treat small hepatic vein occlusion

Small hepatic vein occlusion currently no special treatment, to support symptomatic treatment. Due to the critical condition of acute severe VOD, often complicated by multi-organ failure, high mortality rate, specific methods are as follows: 1, supportive therapy, including intravenous infusion of albumin or plasma, vitamin supplementation, correction of water-electrolyte and acid-base balance disorders, maintaining effective circulating blood volume, renal blood flow perfusion, perfusion volume and internal environment stability; 2, anticoagulation, dispel aggregation therapy, small dose of heparin subcutaneous injection, while applying Dextran-40; 3, water and sodium retention caused by peripheral edema and ascites, restrict sodium intake, and give diuretic, if necessary, put ascites or even dialysis; 4, to prevent infection; 5, intermittent oxygenation, conditionally give hyperbaric oxygen therapy, reduce liver edema, improve the process of systemic energy metabolism, especially the process of hepatocyte mitochondrial regeneration; 6, to promote hepatocyte regeneration drugs have a variety of, such as hepatocyte growth factor, The former two have the effect of promoting hepatocyte regeneration, while the latter promotes vasodilation around the liver sinusoids; 7, immunomodulatory therapy, the application of glucocorticoids for immunomodulation, the efficacy is better; 8, liver transplantation, for patients with severe VOD, in situ liver transplantation can be implemented.