引起大量胃肠道出血的十二指肠黏膜下动脉假性动脉瘤：一例报告
Submucosal Duodenal Artery Pseudoaneurysm Causing Massive Gastrointestinal Hemorrhage: A Case Report.
作者信息
Elliott Stephen, Trtchounian Anna, Danesh Babak, Bober Wojciech, Levy David
机构信息
Good Samaritan Hospital, Department of Emergency Medicine, West Islip, New York.
Good Samaritan Hospital, Department of Gastroenterology, West Islip, New York.
出版信息
Clin Pract Cases Emerg Med. 2022 May;6(2):173-176. doi: 10.5811/cpcem.2022.3.54564.
INTRODUCTION
Acute upper gastrointestinal bleeding is a common emergency presentation. The United States Centers for Disease Control and Prevention 2018 survey of emergency department (ED) visits reported 436,000 ED visits for unspecified gastrointestinal bleeding that year.
CASE REPORT
We present the case of a submucosal duodenal pseudoaneurysm causing massive gastro-intestinal hemorrhage in a male on anticoagulation.
CONCLUSION
Prompt recognition of critical gastrointestinal bleeding, appropriate ED management, and early consultation for emergent intervention are the essential components to reduce morbidity and mortality for patients with massive gastrointestinal hemorrhages.
引言
急性上消化道出血是常见的急诊表现。美国疾病控制与预防中心2018年对急诊科就诊情况的调查显示，当年有43.6万人次因未明确的胃肠道出血到急诊科就诊。
病例报告
我们报告一例十二指肠黏膜下假性动脉瘤导致一名正在接受抗凝治疗的男性发生大量胃肠道出血的病例。
结论
迅速识别严重的胃肠道出血、在急诊科进行适当处理以及尽早会诊以进行紧急干预，是降低大量胃肠道出血患者发病率和死亡率的关键要素。
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