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憩室出血的管理

Management of diverticular hemorrhage.

作者信息

Adams John B, Margolin David A

机构信息

Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana.

出版信息

Clin Colon Rectal Surg. 2009 Aug;22(3):181-5. doi: 10.1055/s-0029-1236163.

DOI:10.1055/s-0029-1236163
PMID:20676262
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2780263/
Abstract

Diverticular hemorrhage is the most common cause of lower gastrointestinal bleeding in Westernized cultures. Fortunately, the majority of diverticular bleeds will spontaneously resolve; however, 20% of patients will require therapeutic interventions to obtain hemostasis. The diagnostic and therapeutic options for the management of diverticular hemorrhage are discussed.

摘要

憩室出血是西方文化中下消化道出血最常见的原因。幸运的是,大多数憩室出血会自行缓解;然而,20%的患者需要进行治疗干预以实现止血。本文讨论了憩室出血管理的诊断和治疗选择。

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本文引用的文献

1
Risk factors for colonic diverticular bleeding: a Westernized community based hospital study.结肠憩室出血的危险因素:一项基于西化社区医院的研究。
World J Gastroenterol. 2009 Jan 28;15(4):457-61. doi: 10.3748/wjg.15.457.
2
Risk factors for mortality in lower intestinal bleeding.下消化道出血患者死亡的危险因素。
Clin Gastroenterol Hepatol. 2008 Sep;6(9):1004-10; quiz 955-. doi: 10.1016/j.cgh.2008.03.021. Epub 2008 Jun 16.
3
Colonoscopic treatment of acute diverticular hemorrhage using endoclips.使用内镜夹进行结肠镜下急性憩室出血治疗
Dig Dis Sci. 2008 Sep;53(9):2480-5. doi: 10.1007/s10620-007-0151-4. Epub 2007 Dec 20.
4
Assessment of the risk factors for colonic diverticular hemorrhage.结肠憩室出血的危险因素评估。
Dis Colon Rectum. 2008 Jan;51(1):116-20. doi: 10.1007/s10350-007-9137-8. Epub 2007 Dec 18.
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Implications of negative technetium 99m-labeled red blood cell scintigraphy in patients presenting with lower gastrointestinal bleeding.
Am J Surg. 2007 Mar;193(3):404-7; discussion 407-8. doi: 10.1016/j.amjsurg.2006.12.006.
6
Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial.急诊结肠镜检查用于急性下消化道出血的评估与处理:一项随机对照试验
Am J Gastroenterol. 2005 Nov;100(11):2395-402. doi: 10.1111/j.1572-0241.2005.00306.x.
7
The management of lower gastrointestinal hemorrhage.下消化道出血的管理
Dis Colon Rectum. 2005 Nov;48(11):2010-24. doi: 10.1007/s10350-005-0138-1.
8
Does hemodynamic instability predict positive technetium-labeled red blood cell scintigraphy in patients with acute lower gastrointestinal bleeding? A review of 50 patients.
Dis Colon Rectum. 2005 May;48(5):1001-4. doi: 10.1007/s10350-004-0931-2.
9
Embolization as first-line therapy for diverticulosis-related massive lower gastrointestinal bleeding: evidence from a meta-analysis.栓塞术作为憩室病相关大量下消化道出血的一线治疗:一项荟萃分析的证据
J Gastrointest Surg. 2005 Mar;9(3):343-52. doi: 10.1016/j.gassur.2004.09.039.
10
Is early colonoscopy after admission for acute diverticular bleeding needed?急性憩室出血入院后是否需要早期结肠镜检查?
Am J Gastroenterol. 2003 Sep;98(9):1996-9. doi: 10.1111/j.1572-0241.2003.07635.x.