Yarris Jonathan P, Warden Craig R
Williamette Falls Hospital, Oregon City, OR, USA.
Emerg Med Clin North Am. 2009 Aug;27(3):363-79. doi: 10.1016/j.emc.2009.04.011.
Gastrointestinal bleeding is a common occurrence in patients with cancer and is a frequent indicator of a gastrointestinal malignancy. Rapid evaluation and treatment is key for the hemodynamically unstable patient. Endoscopy remains the cornerstone of diagnosis and management for cancer patients with gastrointestinal bleeding. The emergency physician should also be aware of other diagnostic and treatment modalities that may be needed to take care of these patients.
胃肠道出血在癌症患者中很常见,并且是胃肠道恶性肿瘤的常见指标。对于血流动力学不稳定的患者,快速评估和治疗是关键。内镜检查仍然是癌症合并胃肠道出血患者诊断和管理的基石。急诊医生也应该了解照顾这些患者可能需要的其他诊断和治疗方式。