General Surgery Residency Program, UnityPoint Health, 1415 Woodland Avenue, Suite 130, Des Moines, IA 50309, USA.
General Surgery Residency Program, UnityPoint Health, 1415 Woodland Avenue, Suite 130, Des Moines, IA 50309, USA; General Surgery, Trauma and Critical Care, The Iowa Clinic, 1212 Pleasant Street, Suite 211, Des Moines, IA 50309, USA; Trauma Services, UnityPoint Health, Iowa Methodist Medical Center, 1200 Pleasant Street, Des Moines, IA 50309, USA.
Surg Clin North Am. 2018 Oct;98(5):1047-1057. doi: 10.1016/j.suc.2018.05.004. Epub 2018 Jul 29.
Upper gastrointestinal bleeding (UGIB), defined as intraluminal hemorrhage proximal to the ligament of Treitz, can range from mild and asymptomatic to massive life-threatening hemorrhage. For the purposes of this article, the authors define an acute UGIB to be one that results in new acute symptoms and is, therefore, potentially life-threatening. UGIB requires a systematic approach to evaluation and treatment, similar to the management of a trauma patient. Surgeon involvement in UGIBs remains integral despite the rare need for operative management. Endoscopy is the primary tool for diagnosis and treatment.
上消化道出血（UGIB）定义为Treitz 韧带近端的腔内腔内出血，可从轻症无症状到危及生命的大出血不等。在本文中，作者将急性 UGIB 定义为导致新的急性症状的出血，因此可能危及生命。UGIB 需要系统的评估和治疗方法，类似于创伤患者的管理。尽管手术管理的需求很少，但外科医生在 UGIB 中的参与仍然是不可或缺的。内镜检查是诊断和治疗的主要工具。
