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上消化道出血(UGIB)最常见的原因仍然是消化性溃疡。早期血容量复苏可降低UGIB的病死率,应加强经验丰富的消化内科、危重症、外科、麻醉和放射学等多学科合作治疗。Rochall和Blatchford风险评分系统评估病人有助于风险分级并判断预后;足量的质子泵抑制剂抑制胃酸分泌是药物治疗的关键;内镜是UGIB的一线治疗方法;血管栓塞不仅仅是手术治疗的良好替代治疗,还是内镜治疗失败后的首选救治方法。
The most common cause of upper gastrointestinal bleeding (UGIB) remains peptic ulcer. Early blood volume recovery can reduce the mortality of UGIB, should strengthen the experience of multi-disciplinary treatment of gastroenterology, critical care, surgery, anesthesia and radiology. Rochall and Blatchford risk scoring system to assess the patient’s risk rating and to determine the prognosis; adequate proton pump inhibitor gastric acid secretion inhibition is the key to drug treatment; endoscopic UGIB is the first-line treatment; vascular embolism is not just surgical treatment Good alternative to treatment, or endoscopic treatment fails after the preferred treatment.