上消化道出血急症管理：循证医学与实际考量。
Management of upper gastrointestinal bleeding emergencies: evidence-based medicine and practical considerations.
机构信息
Minnesota Gastroenterology PA, Minneapolis, MN 55414 (Chen ZJ); Department of Gastroenterology, Hepatology and Nutrition, University of Minnesota Medical School, Minneapolis, MN 55455 (Freeman ML), USA.
出版信息
World J Emerg Med. 2011;2(1):5-12. doi: 10.5847/wjem.j.1920-8642.2011.01.001.
Acute upper gastrointestinal (GI) bleeding remains one of the most common encounters in emergency medicine. The increased use of non-steroid anti-inflammatory drugs by the general population and the increased prescription of anti-platelet agents and anti-coagulants after cardiovascular interventions and for prevention of cerebral vascular accidents may have aggravated the situation. Significant progress has been made in the past decade or so in the non-surgical management of acute upper GI bleeding emergencies. This article will review the current standard treatment of the most common upper GI bleeding emergencies in adults as supported by evidence-based medicine with practical considerations from the authors' own practice experience.
急性上消化道（GI）出血仍然是急诊医学中最常见的病症之一。由于普通人群中使用非甾体抗炎药的增加，以及心血管介入治疗后和预防脑血管意外的抗血小板药物和抗凝剂的处方增加，这种情况可能有所加重。在过去十年左右的时间里，急性上消化道出血急症的非手术治疗取得了重大进展。本文将根据循证医学，结合作者自身实践经验的实际考虑，对成人最常见的上消化道出血急症的当前标准治疗进行综述。
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