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本文引用的文献

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Association between proton pump inhibitors and spontaneous bacterial peritonitis in cirrhotic patients - a systematic review and meta-analysis.质子泵抑制剂与肝硬化患者自发性细菌性腹膜炎的关系：系统评价和荟萃分析。
Int J Clin Pract. 2011 Jun;65(6):674-8. doi: 10.1111/j.1742-1241.2011.02650.x.
2
Upper gastrointestinal tract bleeding management: Belgian guidelines for adults and children.上消化道出血管理：比利时成人及儿童指南
Acta Gastroenterol Belg. 2011 Mar;74(1):45-66.
3
Embolization for non-variceal upper gastrointestinal tract haemorrhage: a systematic review.非静脉曲张性上消化道出血的栓塞治疗：系统评价。
Clin Radiol. 2011 Jun;66(6):500-9. doi: 10.1016/j.crad.2010.11.016. Epub 2011 Mar 2.
4
Urgent endoscopy is associated with lower mortality in high-risk but not low-risk nonvariceal upper gastrointestinal bleeding.在高危而非低危非静脉曲张性上消化道出血患者中，紧急内镜检查与较低的死亡率相关。
Endoscopy. 2011 Apr;43(4):300-6. doi: 10.1055/s-0030-1256110. Epub 2011 Feb 28.
5
Erythromycin infusion or gastric lavage for upper gastrointestinal bleeding: a multicenter randomized controlled trial.红霉素输注或洗胃治疗上消化道出血：一项多中心随机对照试验。
Ann Emerg Med. 2011 Jun;57(6):582-9. doi: 10.1016/j.annemergmed.2011.01.001. Epub 2011 Feb 17.
6
Effect of erythromycin before endoscopy in patients presenting with variceal bleeding: a prospective, randomized, double-blind, placebo-controlled trial.内镜检查前应用红霉素治疗静脉曲张出血患者的效果：一项前瞻性、随机、双盲、安慰剂对照试验。
Gastrointest Endosc. 2011 Feb;73(2):245-50. doi: 10.1016/j.gie.2010.09.043. Epub 2010 Dec 8.
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Prokinetics in acute upper GI bleeding: a meta-analysis.促动力剂治疗急性上消化道出血的荟萃分析。
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Stress ulcer prophylaxis in the new millennium: a systematic review and meta-analysis.新千年的应激性溃疡预防：系统评价和荟萃分析。
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Randomized trial of urgent vs. elective colonoscopy in patients hospitalized with lower GI bleeding.随机试验：在下消化道出血住院患者中，紧急与择期结肠镜检查的比较。
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10
Revising consensus in portal hypertension: report of the Baveno V consensus workshop on methodology of diagnosis and therapy in portal hypertension.门静脉高压共识的修订：巴韦诺V门静脉高压诊断与治疗方法共识研讨会报告
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内科医师对成人和儿童胃肠道出血的管理。

Management by the intensivist of gastrointestinal bleeding in adults and children.

机构信息

AP-HP, Hôpitaux universitaires Paris-Sud, Hôpital de Bicêtre, Service de réanimation médicale, Le Kremlin-Bicêtre, F-94270, France.

出版信息

Ann Intensive Care. 2012 Nov 9;2(1):46. doi: 10.1186/2110-5820-2-46.

DOI:10.1186/2110-5820-2-46
PMID:23140348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3526517/
Abstract

Intensivists are regularly confronted with the question of gastrointestinal bleeding. To date, the latest international recommendations regarding prevention and treatment for gastrointestinal bleeding lack a specific approach to the critically ill patients. We present recommendations for management by the intensivist of gastrointestinal bleeding in adults and children, developed with the GRADE system by an experts group of the French-Language Society of Intensive Care (Société de Réanimation de Langue Française (SRLF), with the participation of the French Language Group of Paediatric Intensive Care and Emergencies (GFRUP), the French Society of Emergency Medicine (SFMU), the French Society of Gastroenterology (SNFGE), and the French Society of Digestive Endoscopy (SFED). The recommendations cover five fields of application: management of gastrointestinal bleeding before endoscopic diagnosis, treatment of upper gastrointestinal bleeding unrelated to portal hypertension, treatment of upper gastrointestinal bleeding related to portal hypertension, management of presumed lower gastrointestinal bleeding, and prevention of upper gastrointestinal bleeding in intensive care.

摘要

重症医学医师经常面临胃肠道出血的问题。迄今为止，关于胃肠道出血预防和治疗的最新国际建议缺乏针对危重症患者的具体方法。我们提出了重症医学医师处理成人和儿童胃肠道出血的建议，该建议是用法语重症医学学会（Société de Réanimation de Langue Française (SRLF）专家组在 GRADE 系统的基础上制定的，法国儿科重症监护和急救组（GFRUP）、法国急诊医学学会（SFMU）、法国胃肠病学会（SNFGE）和法国消化内镜学会（SFED）参与其中。这些建议涵盖了五个应用领域：内镜诊断前胃肠道出血的管理、非门静脉高压相关上消化道出血的治疗、门静脉高压相关上消化道出血的治疗、疑似下消化道出血的处理以及重症监护中预防上消化道出血。