Schaffner J A
Rush-Presbyterian-St Lukes Medical Center, Chicago, Illinois.
Drugs. 1989 Jan;37(1):97-104. doi: 10.2165/00003495-198937010-00007.
The treatment of acute upper gastrointestinal bleeding is becoming more dependent upon early diagnosis. For the majority of patients whose bleeding has stopped when they come to the physician's attention, treatment for peptic disorders remains the mainstay of therapy. For patients who present to the physician actively bleeding, early intervention with endoscopic therapeutic techniques probably will be the most beneficial. Currently available pharmacotherapeutic agents are of limited value in this situation. Further studies to prove and confirm the efficacy of the various techniques need to be carried out.
急性上消化道出血的治疗越来越依赖于早期诊断。对于大多数在就医时出血已停止的患者,消化性疾病的治疗仍然是主要的治疗方法。对于那些就医时正在积极出血的患者,早期采用内镜治疗技术干预可能最为有益。在这种情况下,目前可用的药物治疗剂价值有限。需要开展进一步的研究以证明和确认各种技术的疗效。