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急性上消化道出血的管理,预防再发。

Managing acute upper GI bleeding, preventing recurrences.

机构信息

Department of Internal Medicine, Cleveland Clinic, OH 44195, USA.

出版信息

Cleve Clin J Med. 2010 Feb;77(2):131-42. doi: 10.3949/ccjm.77a.09035.

DOI:10.3949/ccjm.77a.09035
PMID:20124271
Abstract

Acute upper gastrointestinal (GI) bleeding is common and potentially life-threatening and needs a prompt assessment and aggressive medical management. All patients need to undergo endoscopy to diagnose, assess, and possibly treat any underlying lesion. In addition, patients found to have bleeding ulcers should receive a proton pump inhibitor, the dosage and duration of treatment depending on the endoscopic findings and clinical factors.

摘要

急性上消化道(GI)出血很常见,且可能危及生命,需要及时评估和积极的医疗管理。所有患者均需接受内镜检查以诊断、评估和可能治疗任何潜在病变。此外,发现有出血性溃疡的患者应接受质子泵抑制剂治疗,具体剂量和治疗时间取决于内镜检查结果和临床因素。

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1
Managing acute upper GI bleeding, preventing recurrences.急性上消化道出血的管理,预防再发。
Cleve Clin J Med. 2010 Feb;77(2):131-42. doi: 10.3949/ccjm.77a.09035.
2
Initial management of acute upper gastrointestinal bleeding: from initial evaluation up to gastrointestinal endoscopy.急性上消化道出血的初始管理:从初始评估到胃肠内镜检查
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Iron-deficiency anemia due to chronic gastrointestinal bleeding.由于慢性胃肠道出血导致的缺铁性贫血。
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Should every patient with suspected upper GI bleeding receive a proton pump inhibitor while awaiting endoscopy?每位疑似上消化道出血的患者在等待内镜检查期间都应该接受质子泵抑制剂治疗吗?
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Acute nonvariceal upper gastrointestinal bleeding: endoscopic diagnosis and therapy.急性非静脉曲张性上消化道出血:内镜诊断与治疗
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Success and shortcomings of a clinical care pathway in the management of acute nonvariceal upper gastrointestinal bleeding.临床护理路径在急性非静脉曲张性上消化道出血管理中的成功与不足
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