O'Hara S M
Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, USA.
Radiol Clin North Am. 1997 Jul;35(4):879-95.
Diagnosis and intervention in pediatric GI bleeding is the shared responsibility of pediatric endoscopists, radiologists, and surgeons. Brisk hemorrhage, though alarming, is most often self-limited; few cases require urgent surgery before diagnostic evaluation is accomplished. The choice between endoscopic and radiographic evaluation varies with the differential diagnoses being considered and with local referral patterns. Many imaging options exist for assessing GI bleeding in children, but these options are generally narrowed by clinical history and age-appropriate differential possibilities.
小儿胃肠道出血的诊断与干预是小儿内镜医师、放射科医师和外科医师的共同职责。尽管大量出血令人担忧，但大多数情况下是自限性的；在完成诊断评估之前，很少有病例需要紧急手术。内镜检查和影像学评估之间的选择因所考虑的鉴别诊断和当地的转诊模式而异。有多种影像学方法可用于评估儿童胃肠道出血，但这些方法通常会根据临床病史和适合年龄的鉴别可能性而有所局限。
