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下消化道出血的当前治疗方法。

Current treatment of lower gastrointestinal hemorrhage.

作者信息

Raphaeli Tal, Menon Raman

机构信息

Swedish Colon and Rectal Clinic, Seattle, Washington.

出版信息

Clin Colon Rectal Surg. 2012 Dec;25(4):219-27. doi: 10.1055/s-0032-1329393.

DOI:10.1055/s-0032-1329393
PMID:24294124
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3577609/
Abstract

Massive lower gastrointestinal bleeding is a significant and expensive problem that requires methodical evaluation, management, and treatment. After initial resuscitation, care should be taken to localize the site of bleeding. Once localized, lesions can then be treated with endoscopic or angiographic interventions, reserving surgery for ongoing or recurrent bleeding.

摘要

大量下消化道出血是一个严重且代价高昂的问题,需要进行系统的评估、管理和治疗。在初始复苏后,应注意确定出血部位。一旦确定部位,病变可通过内镜或血管造影干预进行治疗,将手术留用于持续性或复发性出血情况。

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本文引用的文献

1
Single-centre experience on use of videocapsule endoscopy for obscure gastrointestinal bleeding in 120 consecutive patients.连续120例患者使用视频胶囊内镜检查不明原因胃肠道出血的单中心经验。
Acta Gastroenterol Belg. 2011 Sep;74(3):400-6.
2
Sixty-four multi-detector computerised tomography in the detection of lower gastrointestinal bleeding: A prospective study.64排多层螺旋CT在检测下消化道出血中的应用:一项前瞻性研究。
J Med Imaging Radiat Oncol. 2011 Jun;55(3):252-8. doi: 10.1111/j.1754-9485.2011.02261.x.
3
Impact of upper and lower gastrointestinal blood loss on healthcare utilization and costs: a systematic review.上消化道和下消化道出血对医疗保健利用和成本的影响:系统评价。
J Med Econ. 2011;14(3):279-87. doi: 10.3111/13696998.2011.571328. Epub 2011 Apr 1.
4
Double-balloon enteroscopy: the diagnosis and management of small bowel diseases.双气囊小肠镜:小肠疾病的诊断与治疗
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5
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。
Am J Gastroenterol. 2010 Dec;105(12):2636-41; quiz 2642. doi: 10.1038/ajg.2010.277. Epub 2010 Jul 20.
6
Upper versus lower gastrointestinal bleeding: a direct comparison of clinical presentation, outcomes, and resource utilization.上消化道出血与下消化道出血:临床特征、结局和资源利用的直接比较。
J Hosp Med. 2010 Mar;5(3):141-7. doi: 10.1002/jhm.606.
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Provocative mesenteric angiography for lower gastrointestinal hemorrhage: results from a single-institution study.刺激肠系膜血管造影在治疗下消化道出血中的应用:单中心研究结果。
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8
Massive lower gastrointestinal hemorrhage secondary to rectal hemorrhoids in elderly patients receiving anticoagulant therapy: case series.接受抗凝治疗的老年患者因直肠痔导致的大量下消化道出血:病例系列
Dig Dis Sci. 2010 Sep;55(9):2693-4. doi: 10.1007/s10620-009-1043-6. Epub 2009 Dec 4.
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Scand J Surg. 2009;98(3):135-42. doi: 10.1177/145749690909800302.
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Colorectal Dis. 2010 Oct;12(10):1013-7. doi: 10.1111/j.1463-1318.2009.01906.x.