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[急性和急诊护理中的胃肠道及肝脏急症]

[Gastrointestinal and hepatic emergencies in acute and emergency care].

作者信息

Kasper Philipp, Demir Münevver, Chon Seung-Hun, Bruns Christiane J, Goeser Tobias, Michels Guido

机构信息

Klinik für Gastroenterologie und Hepatologie, Universitätsklinikum Köln, Köln, Deutschland.

Medizinische Klinik mit Schwerpunkt Hepatologie und Gastroenterologie, Charité Campus Mitte und Campus Virchow-Klinikum, Charité Universitätsmedizin Berlin, Berlin, Deutschland.

出版信息

Med Klin Intensivmed Notfmed. 2023 May;118(4):319-328. doi: 10.1007/s00063-023-01006-x. Epub 2023 Apr 26.

Abstract

Acute gastrointestinal emergencies are one of the most common presentations to the emergency department. If the main symptom is acute abdominal pain, this is referred to as "acute abdomen". An acute abdomen demands urgent attention and treatment and can be caused by different pathologies (e.g., peptic ulcer disease, acute pancreatitis, diverticulitis). Hepatic emergencies include acute liver failure and acute-on-chronic liver failure. Due to the large number of possible differential diagnoses with variable clinical symptoms, rapid diagnosis of the underlying etiology of gastrointestinal and liver emergencies is a major challenge in daily clinical practice. A structured approach and prompt initiation of adequate diagnostic and treatment measures are essential in order to reduce mortality.

摘要

急性胃肠道急症是急诊科最常见的就诊情况之一。如果主要症状是急性腹痛,则称为“急腹症”。急腹症需要紧急关注和治疗,可能由不同的病理状况引起(例如,消化性溃疡病、急性胰腺炎、憩室炎)。肝脏急症包括急性肝衰竭和慢加急性肝衰竭。由于可能的鉴别诊断众多且临床症状各异,快速诊断胃肠道和肝脏急症的潜在病因是日常临床实践中的一项重大挑战。采取结构化方法并迅速启动适当的诊断和治疗措施对于降低死亡率至关重要。

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