盘点:急性上消化道出血共识有哪些?
医脉通指南整理,转载注明来源
制定者:
中国医师协会急诊医师分会
内容介绍:
中国医师协会急诊医师分会组织部分急诊科和消化科专家,参照国内外最新指南、进展及临床实践,结合我国的具体情况及急诊工作特点,就急性上消化道出血的急诊诊治进行研讨,对2011年急性上消化道出血急诊诊治流程专家共识进行修订,达成共识。此共识的重点是针对上消化道出血患者的病情评估、稳定循环和初始的药物止血治疗。专家们推荐使用本共识中的流程对急性上消化道出血患者进行评估、治疗和管理。
本共识未涵盖急性上消化道出血诊断和治疗中的所有临床问题,只是为急诊医师提供一个原则性的意见和适合大多数情况的诊疗方案。
制定者:
欧洲胃肠道内窥镜学会(ESGE)
内容介绍:
This includes peptic ulcers, 28%–59% (duodenal ulcer 17%–37% and gastric ulcer 11%–24%); mucosal erosive disease of the esophagus/stomach/duodenum, 1%–47%; Mallory–Weiss syndrome, 4%–7%; upper GI tract malignancy, 2%–4%; other diagnosis, 2%–7%; or no exact cause identified, 7%–25%. Moreover, in 16%–20% of acute UGIH cases, more than one endoscopic diagnosis may be identified as the cause of bleeding. The aim of this evidence-based consensus guideline is to provide medical caregivers with a comprehensive review and recommendations on the clinical and endoscopic management of NVUGIH.
制定者:
中国医师协会急诊医师分会
内容介绍:
制定者:
亚太工作组(APWG)
内容介绍:
Gut于2011年4月在线发表了《亚太地区非静脉曲张性上消化道出血专家共识意见》(以下简称亚太共识)。该共识意见根据亚太地区的实际情况,针对非静脉曲张性上消化道出血(nonvarieeal upper gastrointestinal bleeding,NVUGIB)临床最常见的12个关键问题进行阐述。提出了处理的指导意见。
制定者:
中国医师协会急诊医师分会
内容介绍:
制定者:
上消化道出血国际共识会务组(ICUGBCG)
内容介绍:
Endoscopy in patients with upper GI bleeding is effective in diagnosing and treating most causes of upper GI bleeding. Endoscopy is associated with a reduction in blood transfusion requirements and length of stay in the intensive care unit and hospital. Early endoscopy (within 24 hours of admission to the hospital) has a greater impact than later endoscopy on length of hospital stay and requirement for blood transfusion. No single method of endoscopic therapy is superior to another. Routine second-look endoscopy (performed 16 hours to 24 hours after first endoscopy) in a stable patient is not recommended. A second attempt at endoscopic therapy is generally recommended in cases of re-bleeding.