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[重症监护病房危重症患者出血的临床表现:器官系统及临床意义]

[Clinical presentation of bleeding in critically ill patients in the intensive care unit : Organ systems and clinical implications].

作者信息

Drolz Andreas, Fuhrmann Valentin

机构信息

1. Medizinische Klinik und Poliklinik, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Deutschland.

Klinik für Innere Medizin 1, Evangelisches Klinikum Niederrhein, Duisburg, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2021 Sep;116(6):482-490. doi: 10.1007/s00063-021-00845-w. Epub 2021 Aug 24.

Abstract

Bleedings are frequent and clinically important complications in critically ill patients in the intensive care unit, and-depending on location and intensity-are associated with high morbidity and mortality. The clinical impact of different bleeding entities is affected by the location (e.g. intracerebral bleedings), the severity (e.g. fulminant variceal bleeding) and the incidence (e.g. gastrointestinal bleeding) of the respective bleeding type. Therapy varies among bleeding entities, but consists of stabilization of the patient, control of the bleeding, and prevention of complications. This review describes relevant therapeutic aspects of selected bleeding complications in critically ill patients.

摘要

出血是重症监护病房中危重症患者常见且具有临床重要性的并发症,根据出血部位和严重程度不同,其与高发病率和死亡率相关。不同出血类型的临床影响受出血部位(如脑出血)、严重程度(如暴发性静脉曲张出血)和发生率(如胃肠道出血)的影响。不同出血类型的治疗方法各异,但都包括患者病情稳定、出血控制和并发症预防。本综述描述了危重症患者特定出血并发症的相关治疗要点。

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