食管胃静脉曲张出血的内镜诊断与治疗
Endoscopic Diagnosis and Therapy in Gastroesophageal Variceal Bleeding.
作者信息
Kapoor Ashwani, Dharel Narayan, Sanyal Arun J
机构信息
MCV Box 980341, Richmond, VA 23298-0341,
MCV Box 980341, Richmond, VA 23298-0341.
出版信息
Gastrointest Endosc Clin N Am. 2015 Jul;25(3):491-507. doi: 10.1016/j.giec.2015.03.004. Epub 2015 Jun 5.
Abstract
Gastroesophageal variceal hemorrhage is a medical emergency with high morbidity and mortality. Endoscopic therapy is the mainstay of management of bleeding varices. It requires attention to technique and the appropriate choice of therapy for a given patient at a given point in time. Subjects must be monitored continuously after initiation of therapy for control of bleeding, and second-line definitive therapies must be introduced quickly if endoscopic and pharmacologic treatment fails.
摘要
胃食管静脉曲张出血是一种发病率和死亡率都很高的医疗急症。内镜治疗是曲张静脉出血管理的主要手段。它需要关注技术以及在特定时间为特定患者选择合适的治疗方法。治疗开始后必须持续监测患者以控制出血，如果内镜和药物治疗失败，必须迅速引入二线确定性治疗方法。
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