Sur Lucia Maria, Armat Ionel, Sur Genel, Tisa Ioana Badiu, Bordea Madalina Adriana, Lupan Iulia, Samasca Gabriel, Lazar Calin
Department of Pediatrics I, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Department of Pediatrics II, Iuliu Hatieganu University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
J Clin Med. 2023 Apr 17;12(8):2921. doi: 10.3390/jcm12082921.
Upper gastrointestinal bleeding (UGB) in children is a potentially life-threatening condition that represents a challenge for pediatricians and pediatric surgeons. It is defined as bleeding from any location within the upper esophagus to the ligament of Treitz. UGB can have many causes that vary with age. The impact on the child is often proportional to the amount of blood lost. This can range from mild bleeding that is unlikely to cause hemodynamic instability, to massive bleeding that requires admission to the intensive care unit. Proper and prompt management are very important factors in reducing morbidity and mortality. This article aims to summarize current research regarding the diagnosis and treatment of UGB. Most of the data used in the literature published on this subject is extrapolated from adulthood.
儿童上消化道出血(UGB)是一种潜在的危及生命的病症,对儿科医生和小儿外科医生来说是一项挑战。它被定义为从食管上段至屈氏韧带之间任何部位的出血。UGB可有多种病因,且随年龄而异。对儿童的影响通常与失血量成正比。这可以从不太可能导致血流动力学不稳定的轻度出血,到需要入住重症监护病房的大量出血。恰当而及时的处理是降低发病率和死亡率的非常重要的因素。本文旨在总结关于UGB诊断和治疗的当前研究。关于该主题发表的文献中使用的大多数数据是从成人研究中推断出来的。