Rupp Timothy, Singh Suneet, Waggenspack Wame
Emergency Medicine Residency Training Program, University of Texas Southwestern Medical Center, Dallas, USA.
JEMS. 2004 Aug;29(8):80-1, 83-95; quiz 96-7.
Gastrointestinal hemorrhage may result from an upper or a lower source. It may present in many different ways; however, prehospital management is similar regardless of cause. It's imperative to recognize that a seemingly stable GI bleed can become hemodynamically unstable at any time. The prehospital provider, therefore, should understand the pathophysiology, signs, symptoms and therapeutic interventions for patients with GI bleeds to be better prepared to manage any such emergency when it arises.
胃肠道出血可能源于上消化道或下消化道。它可能以多种不同方式呈现;然而,无论病因如何,院前处理都是相似的。必须认识到,看似稳定的胃肠道出血随时可能出现血流动力学不稳定。因此,院前急救人员应了解胃肠道出血患者的病理生理学、体征、症状及治疗干预措施,以便在这类紧急情况发生时能更好地做好应对准备。