急性食管胃静脉曲张出血的非内镜治疗策略
Nonendoscopic management strategies for acute esophagogastric variceal bleeding.
作者信息
Satapathy Sanjaya K, Sanyal Arun J
机构信息
Division of Surgery, Methodist University Hospital Transplant Institute, University of Tennessee Health Sciences Center, Memphis, TN 38104, USA.
Division of Gastroenterology, Department of Internal Medicine, Virginia Commonwealth University School of Medicine, MCV Box 980341, Richmond, VA 23298-0341, USA.
出版信息
Gastroenterol Clin North Am. 2014 Dec;43(4):819-33. doi: 10.1016/j.gtc.2014.08.011. Epub 2014 Sep 27.
Abstract
Acute variceal bleeding is a potentially life-threatening complication of portal hypertension. Management consists of emergent hemostasis, therapy directed at hemodynamic resuscitation, protection of the airway, and prevention and treatment of complications including prophylactic use of antibiotics. Endoscopic treatment remains the mainstay in the management of acute variceal bleeding in combination with pharmacotherapy aimed at reducing portal pressure. This article intends to highlight only the current nonendoscopic treatment approaches for control of acute variceal bleeding.
摘要
急性静脉曲张出血是门静脉高压症一种潜在的危及生命的并发症。治疗包括紧急止血、针对血流动力学复苏的治疗、气道保护以及并发症的预防和治疗，包括预防性使用抗生素。内镜治疗仍然是急性静脉曲张出血治疗的主要手段，并结合旨在降低门静脉压力的药物治疗。本文仅旨在突出当前控制急性静脉曲张出血的非内镜治疗方法。
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