Greenwald D A, Brandt L J
Department of Medicine, Montefiore Medical Center, Bronx, New York 10467, USA.
Gastrointest Endosc Clin N Am. 1998 Oct;8(4):933-8.
Gastrointestinal (GI) bleeding is an uncommon manifestation of AIDS despite the frequent involvement of the GI tract by infections, malignancies, and a variety of other disorders. GI bleeding may occur from a variety of causes, some specifically associated with AIDS and others unrelated to immunocompromise; most patients with AIDS who have lower GI bleeding have causes attributable to AIDS-specific lesions. Just as in an incompetent patient, an aggressive approach to diagnosis and treatment of GI bleeding in AIDS patients is warranted.
尽管胃肠道频繁受到感染、恶性肿瘤及各种其他疾病的累及，但胃肠道出血在艾滋病中却是一种不常见的表现。胃肠道出血可能由多种原因引起，有些与艾滋病特异性相关，有些则与免疫功能低下无关；大多数患有下消化道出血的艾滋病患者的病因可归因于艾滋病特异性病变。正如对待无行为能力的患者一样，对艾滋病患者胃肠道出血采取积极的诊断和治疗方法是必要的。
