Olson Jody C, Saeian Kia
The University of Kansas, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Crit Care Clin. 2016 Jul;32(3):371-84. doi: 10.1016/j.ccc.2016.03.007.
Gastrointestinal (GI) complications of cirrhosis are frequent in patients who require intensive care support and are often the primary indication for intensive care unit (ICU) admission. Perhaps the most worrisome GI complication for the intensivist is variceal hemorrhage. Bleeding from esophageal or gastric varices represents a life-threatening event for cirrhotic patients and provides management challenges for the ICU team. Nonvariceal GI bleeding, impaired GI motility, and malnutrition also provide significant challenges for the intensivist. This article reviews GI issues that present in critically ill cirrhotic patients and their management in the acute setting.
在需要重症监护支持的患者中，肝硬化的胃肠道（GI）并发症很常见，且常常是入住重症监护病房（ICU）的主要指征。对于重症监护医生而言，最令人担忧的GI并发症或许是静脉曲张出血。食管或胃静脉曲张出血对肝硬化患者来说是危及生命的事件，也给ICU团队带来了管理挑战。非静脉曲张性GI出血、GI动力障碍和营养不良也给重症监护医生带来了重大挑战。本文综述了重症肝硬化患者出现的GI问题及其在急性情况下的管理。
