• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Seminars in Gastrointestinal Disease >Acute gastrointestinal bleeding.
【24h】

Acute gastrointestinal bleeding.

机译：急性胃肠道出血。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Acute gastrointestinal bleeding is a common disorder with a wide spectrum of presentations that may encompass multiple clinical scenarios. Initial hemodynamic assessment and resuscitation are critical. Once accomplished, the source of bleeding should be localized, active bleeding should be stopped, the underlying abnormality should be treated, and recurrent bleeding should be prevented. The means to accomplish these goals depends on the specific clinical situation. For most forms of upper gastrointestinal bleeding, early endoscopy is the cornerstone of diagnosis and management. It can predict and improve clinical outcomes. A variety of endoscopic and pharmacologic modalities are effective at achieving and maintaining hemostasis. The optimum means of evaluation and treatment of acute lower gastrointestinal bleeding is less clear and is now evolving. Endoscopy (usually expectant, less often early) is widely used and effective for diagnosis but has unproven therapeutic benefits. Angiography is effective (diagnostically and/or therapeutically) in certain situations. Surgery offers the opportunity for definitive therapy at the cost of higher morbidity. At this time, the approach to evaluation and management should be based on the specific clinical situation and available local expertise.
机译：急性胃肠道出血是常见病，表现形式多样，可能涵盖多种临床情况。初步的血流动力学评估和复苏至关重要。一旦完成，应确定出血源，应停止活动性出血，应治疗潜在的异常情况，并应防止复发性出血。实现这些目标的方法取决于具体的临床情况。对于大多数形式的上消化道出血，早期内镜检查是诊断和治疗的基石。它可以预测和改善临床结果。多种内窥镜和药理学方法可有效实现和维持止血。评价和治疗急性下消化道出血的最佳方法尚不清楚，并且正在不断发展。内窥镜检查（通常是预期的，很少是早期）在诊断中得到了广泛的使用和有效，但尚未得到证实的治疗益处。血管造影术在某些情况下是有效的（诊断和/或治疗）。手术以较高的发病率为代价提供了最终治疗的机会。目前，评估和管理方法应基于特定的临床情况和当地的专业知识。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号