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用于管理上消化道出血的专业胃肠病单元。

Specialized gastrointestinal units for the management of upper gastrointestinal haemorrhage.

作者信息

Sanderson J D, Taylor R F, Pugh S, Vicary F R

机构信息

Department of Gastroenterology, Whittington Hospital, London, UK.

出版信息

Postgrad Med J. 1990 Aug;66(778):654-6. doi: 10.1136/pgmj.66.778.654.

Abstract

In 1986, 292 patients were admitted to a joint medical-surgical gastrointestinal unit with upper gastrointestinal haemorrhage. Fourteen patients died (4.8%) a mortality considerably lower than recorded in most series. The low mortality may result from the use of a specialized gastrointestinal unit to which all patients with upper gastrointestinal haemorrhage are admitted and managed with strict protocols for resuscitation, transfusion and surgery.

摘要

1986年,292名因上消化道出血而入住胃肠联合内科-外科病房的患者。14名患者死亡(4.8%),这一死亡率远低于大多数研究系列所记录的。低死亡率可能是由于使用了专门的胃肠病房,所有上消化道出血患者都被收治于此,并按照严格的复苏、输血和手术方案进行管理。

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本文引用的文献

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Haematemesis and melaena.呕血与黑便。
Br Med J. 1950 Jul 15;2(4671):133-8. doi: 10.1136/bmj.2.4671.133.
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The surgical treatment of haematemesis and melaena.呕血与黑便的外科治疗
Postgrad Med J. 1950 May;26(295):253-66. doi: 10.1136/pgmj.26.295.253.
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HAEMORRHAGE FROM THE UPPER ALIMENTARY TRACT.上消化道出血
Gut. 1964 Apr;5(2):136-41. doi: 10.1136/gut.5.2.136.
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Fatal bleeding ulcer.致命性出血性溃疡
Ann Surg. 1966 Nov;164(5):840-4. doi: 10.1097/00000658-196611000-00008.
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Haematemesis patients should be managed in special units.呕血患者应在特殊病房进行治疗。
Med J Aust. 1986 Mar 3;144(5):247-50. doi: 10.5694/j.1326-5377.1986.tb115886.x.

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