Meltzer Andrew C, Klein Joshua C
Department of Emergency Medicine, George Washington University, 2120 L Street Northwest, Suite 450, Washington, DC 20037, USA.
Department of Emergency Medicine, George Washington University, 2120 L Street Northwest, Suite 450, Washington, DC 20037, USA.
Gastroenterol Clin North Am. 2014 Dec;43(4):665-75. doi: 10.1016/j.gtc.2014.08.002. Epub 2014 Oct 24.
The established quality indicators for early management of upper gastrointestinal (GI) hemorrhage are based on rapid diagnosis, risk stratification, and early management. Effective preendoscopic treatment may improve survivability of critically ill patients and improve resource allocation for all patients. Accurate risk stratification helps determine the need for hospital admission, hemodynamic monitoring, blood transfusion, and endoscopic hemostasis before esophagogastroduodenoscopy (EGD) via indirect measures such as laboratory studies, physiologic data, and comorbidities. Early management before the definitive EGD is essential to improving outcomes for patients with upper GI bleeding.
已确立的上消化道出血早期管理质量指标基于快速诊断、风险分层和早期管理。有效的内镜前治疗可能会提高危重症患者的生存率，并优化所有患者的资源分配。准确的风险分层有助于通过实验室检查、生理数据和合并症等间接指标，确定食管胃十二指肠镜检查（EGD）前住院、血流动力学监测、输血和内镜止血的必要性。在明确的EGD之前进行早期管理对于改善上消化道出血患者的预后至关重要。
