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下消化道出血的手术选择与手术入路:我们何时进行手术以及如何进行手术?

Surgical Options and Approaches for Lower Gastrointestinal Bleeding: When do we operate and what do we do?

作者信息

Greco Laura, Zhang Jeanette, Ross Howard

机构信息

Department of Surgery, Lewis Katz School of Medicine at Temple University, Pennsylvania.

出版信息

Clin Colon Rectal Surg. 2020 Jan;33(1):10-15. doi: 10.1055/s-0039-1693439. Epub 2020 Jan 7.

Abstract

Lower gastrointestinal bleeding (LGIB) is a common entity encountered by the surgeon. Though most LGIB stops on its own, familiarity with the diagnoses and their treatments is critical to optimal patient care. Even in 2016, surgery may be required. Advances in imaging have led to an enhanced ability to localize bleeding. Newer anticoagulants have developed which provide ease of use to the patient, but challenges to caregivers when bleeding arises.

摘要

下消化道出血(LGIB)是外科医生常遇到的一种病症。尽管大多数下消化道出血会自行停止,但熟悉其诊断和治疗方法对于为患者提供最佳护理至关重要。即使在2016年,仍可能需要进行手术。影像学的进步提高了定位出血部位的能力。新型抗凝剂已研发出来,这给患者带来了使用便利,但出血时却给护理人员带来了挑战。

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