Arasaradnam R P, Donnelly M T
Postgrad Med J. 2005 Feb;81(952):92-8. doi: 10.1136/pgmj.2004.020867.
Upper gastrointestinal bleeding is one of the commonest emergencies encountered by general physicians. Once haemodynamic stability has been achieved, therapeutic endoscopy is vital in control and arrest of bleeding. Various methods are available and the evidence is reviewed as to the most optimal approach. Clinical parameters including timing of endoscopy, risk stratification, and predictors of failure will also be discussed together with a summary of recommendations based on current available evidence.
上消化道出血是普通内科医生最常遇到的急症之一。一旦实现血流动力学稳定，治疗性内镜检查对于控制和止血至关重要。有多种方法可供选择，本文将对最优化方法的证据进行综述。还将讨论包括内镜检查时机、风险分层和失败预测因素在内的临床参数，并根据当前可得证据总结相关建议。
