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胃肠道出血的评估与管理

Evaluation and management of gastrointestinal bleeding.

作者信息

Beck David E, Margolin David A, Whitlow Charles B, Hammond Kerry L

机构信息

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

出版信息

Ochsner J. 2007 Fall;7(3):107-13.

Abstract

A logical, reasoned approach is essential to the successful management of gastrointestinal hemorrhage. This article describes the approach used by the staff of the Ochsner Clinic Foundation's Department of Colon and Rectal Surgery to evaluate and manage lower gastrointestinal hemorrhage, along with the evidence and experience that guided its development. Following resuscitation, diagnostic studies localize the presence and source of hemorrhage, while management options (non-operative and operative) control the bleeding.

摘要

采用合乎逻辑、理性的方法对于成功处理胃肠道出血至关重要。本文描述了奥施纳诊所基金会结肠直肠外科工作人员用于评估和处理下消化道出血的方法,以及指导该方法形成的证据和经验。复苏后,诊断性检查可确定出血的部位和来源,而处理选项(非手术和手术)则用于控制出血。

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本文引用的文献

2
Lower gastrointestinal bleeding.下消化道出血。
Gastroenterol Clin North Am. 2003 Dec;32(4):1107-25. doi: 10.1016/s0889-8553(03)00086-4.
5
GI magnetic resonance angiography.胃肠道磁共振血管造影术
Gastrointest Endosc. 2002 Jun;55(7 Suppl):S42-8. doi: 10.1067/mge.2002.124744.
6
CT angiography of the GI tract.胃肠道CT血管造影。
Gastrointest Endosc. 2002 Jun;55(7 Suppl):S37-41. doi: 10.1067/mge.2002.124745.
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Superselective microcoil embolization of colonic hemorrhage.结肠出血的超选择性微线圈栓塞术
AJR Am J Roentgenol. 2001 Oct;177(4):829-36. doi: 10.2214/ajr.177.4.1770829.
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Wireless capsule endoscopy.无线胶囊内镜检查
Nature. 2000 May 25;405(6785):417. doi: 10.1038/35013140.
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Percutaneous embolotherapy of lower gastrointestinal hemorrhage.经皮介入治疗下消化道出血
J Vasc Interv Radiol. 1998 Sep-Oct;9(5):747-51. doi: 10.1016/s1051-0443(98)70386-0.

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