Rutgeerts P, Vantrappen G
Endoscopy. 1986 May;18 Suppl 2:15-7. doi: 10.1055/s-2007-1018420.
Management of the patient with upper gastrointestinal bleeding is a continuing challenge to the gastroenterologist and the surgeon. Endoscopy early in the course of bleeding benefits the patient only when diagnostic accuracy is combined with definitive hemostatic therapy. Effective methods are now available for endoscopic hemostasis of bleeding ulcers and bleeding varices. However, an improvement in the outcome of gastrointestinal bleeding is not easily achieved, since age and the incidence of severe underlying disease in patients with upper G.I. hemorrhage have been steadily increasing over the years.
上消化道出血患者的管理对胃肠病学家和外科医生来说一直是一项挑战。只有当诊断准确性与确定性止血治疗相结合时，在出血过程早期进行内镜检查才对患者有益。目前已有有效的方法用于内镜下治疗出血性溃疡和静脉曲张出血。然而，由于多年来上消化道出血患者的年龄和严重基础疾病的发生率一直在稳步上升，因此不易实现胃肠道出血治疗效果的改善。
