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胃、十二指肠和小肠急症。

Gastric, Duodenal, and Small Bowel Emergencies.

机构信息

Riverside Community Hospital, 4445 Magnolia Avenue, Riverside, CA 92501, USA.

University of California Riverside, Riverside Community Hospital, , 4445 Magnolia Avenue, Riverside, CA 92501, USA.

出版信息

Surg Clin North Am. 2023 Dec;103(6):1097-1112. doi: 10.1016/j.suc.2023.05.012. Epub 2023 Jul 13.

Abstract

Gastric and small bowel emergencies are often seen in the emergency department and require rapid assessment and intervention as patients can deteriorate quickly. Some of the more frequently seen gastric emergencies include gastric volvulus and peptic ulcer disease, which can present with ischemia, strangulation, perforation, or severe bleeding. Swift diagnosis is crucial to ensuring the proper management whether that is endoscopic or with surgical exploration. Perforated peptic ulcers that are not contained will require surgical intervention, whereas bleeding ulcers can often be controlled with endoscopic interventions.

摘要

胃和小肠急症在急诊科中经常可见,需要快速评估和干预,因为患者可能会迅速恶化。一些更常见的胃急症包括胃扭转和消化性溃疡病,这些疾病可能会出现缺血、绞窄、穿孔或严重出血。快速诊断对于确保适当的治疗至关重要,无论是内镜治疗还是手术探查。未被包裹的穿孔性消化性溃疡需要手术干预,而出血性溃疡通常可以通过内镜干预来控制。

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