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消化性溃疡出血的治疗现状 被引量:1

Current treatment of peptic ulcer bleeding
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摘要 消化性溃疡出血是一个常见且潜在生命危险的临床症状。治疗上主要以药物治疗、内镜治疗和手术治疗为主。由于有效的内镜止血方法及抑酸药物的出现,消化性溃疡出血的治疗在过去20年里发生了很大的变化,药物联合内镜的治疗方法对消化性溃疡出血有很好的疗效,在很多医疗单位内镜治疗已被广泛采用作为一线治疗方案。而手术治疗,作为控制出血的最彻底的方法,多在上述治疗方法失败后采用。选择手术治疗或是重复内镜治疗可基于病人的并发症和溃疡的性质决定。 Peptic ulcer bleeding is a common clinical symptom which is a potential fatalillness. It can be well cured by pharmacologic, endoscopic and surgical treatment. The treatment of peptic ulcer bleeding has been revolutionized in the past two decades with the advent of effective endoscopic hemostasis and potent acid-suppressing agents. The combination of pharmacologic and endoscopic therapy offers the effective hemostasis, and has been chosen in most Medical Therapy Unit. In surgery, the most thoroughly way to control bleeding, is considered after the failure of other treatments. The choice of surgical or repeat endoscopic therapy should be based on the complications of the patient and the characteristics of the ulcer.
作者 余汁 陈力
出处 《国际外科学杂志》 2007年第7期485-489,共5页 International Journal of Surgery
关键词 消化性溃疡出血 治疗现状 peptic ulcer bleeding current management
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  • 1Rockall T, Logan R, Devlin H, et al. Risk assessment after upper gastrointestinal haemorrhage[J]. Gut, 1996, 389(3): 316-321.
  • 2Blatchford O, Murray W, Blatchford M. A risk score to predict need for treatment for upper-gastrointestinal haemorrhage [ J ]. Lancet, 2000,356(9238) : 1318-1321.
  • 3Green F,Kaplan M, Curtis L, et al. Effect of acid and pepsin on blood coagulation and platelet aggregation [ J]. Gastroenterology, 1978,74(1) : 38-43.
  • 4Joseph S. Current management of peptic ulcer bleeding. Nat Clin Pract Gastroenterol Hepatol[ J], 2006, 3( 1 ) : 24-32.
  • 5Levine J, Leontiadis G, Sharma V, Howden C, et al. Meta-analysis: the efficacy of intravenous H2-receptor antagonists in bleeding peptic ulcer[J]. Aliment Pharmacol Ther, 2002, 16(6) : 1137-1142.
  • 6Lau J, Sung J, Lee K,et al. Effect of intravenous omeprazole on recurrent bleeding after endoscopic treatment of bleeding peptic ulcers [ J ]. N Engl J Med, 2000, 343(5): 310-316.
  • 7Javid G, Masoodi I, Zargar SA, et al. Omeprazole as adjuvant therapy to endoscopic combination injection sclerotherapy for treating bleeding peptic ulcer[ J]. Am J Med, 2001, 111 (4) : 280-284.
  • 8Kaviani M, Hashemi M, Kazemifar A, et al. Effect of oral omeprazole in reducing re-bleeding in bleeding peptic ulcers:a prospective, double-blind, randomized, clinical trial [ J ]. Aliment Pharmacol Ther, 2003, 17(2) : 211-216.
  • 9Adler D, Leighton J, Davila R, et al. ASGE Guideline: The role of endoscopy in upper gastrointestinal bleeding[ J]. Gastrointest Endosc, 2004, 60(4) : 497-504.
  • 10Arkkila P, Seppala K, Kosunen T, et al. Eradication of Helicobacter pylori improves the healing rate and reduces the relapse rate of non- bleeding ulcers in patients with bleeding peptic ulcer[ J]. Am J Gastroenterol, 2003, 98(10) :2149-2156

二级参考文献10

  • 1余佩武,王自强,张超,罗华星,钱锋.腹腔镜辅助下根治胃癌的23例临床报告[J].外科理论与实践,2004,9(6):461-463. 被引量:22
  • 2Conlon KC,McMahon RL. Minimally invasive surgery in the diagnosis and treatment of upper gastrointestinal tract malignancy. Ann Surg Oncol,2002,9:725-737.
  • 3Kitano S, Iso Y, Moriyama M, et al. Laparoscopic-assisted BillrothⅠ gastrectomy. Surg Laparosc Endosc,1994,4:146-148.
  • 4Han HS,Kim YW,Yi NJ,et al. Laparoscopy-assisted D2 subtotal gastrectomy in early gastric cancer. Laparosc Endosc Percutan Tech,2003,13:361-365.
  • 5Shiraishi KS, Kenji K. Laparoscopy-assisted Billroth-I gastrectomy (LADG) for cancer:our 10 years experience. Laparosc Edosc Percutan Techn,2002,12:204-207.
  • 6Murray F. Current status of surgery for gastric cancer: a review. Gastric Cancer,2005,8:64-70.
  • 7Borie F,Plaisant N,Millat B,et al. Appropriate gastric resection with lymph node dissection for early gastric cancer. Ann Surg Oncol,2004,11:512-517.
  • 8Goh Peter MY,Khan Ameer Z,So Jimmy BY, et al. Early experience with laparoscopic radical gastrectomy for advanced gastric cancer.Laparosc Endosc Percutan Tech,2001,11:83-87.
  • 9Gristiano GS,Huscher AM,Giovanna S,et al. Laparoscopy versus open subtotal gastrectomy for distal gastric cancer. Ann Surg,2005,241:232-236.
  • 10舒晔.腹腔镜手术在胃肠外科的应用[J].临床外科杂志,1999,7(1):39-41. 被引量:14

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  • 1WHO.Obesity:preventing and managing the global epidemic.Report of a WHO consultation on obesity.Geneva,Switzerland ;World Health Organ Tech Rep Ser,2000,894(i-xii):1-253.
  • 2Finer N.Pharmacotherapy of obesity[J].Best Pract Res Clin Endocrinol Metab,2002,16(4):717-742.
  • 3Schwartz GJ.The role of gastrointestinal vagal afferents in the control of food Intake:Current Prospects[J].Nutrition,2000,16(10):866-873.
  • 4Sobocki J,Krolczyk G,Herman RM,et al.Influence of vagal stimulation on food intake and body weight-results of experimental studies[J].J Physiol Pharmacol,2005,56(6):27-33.
  • 5Hans-Rudolf Berthoud.The vagus nerve,food intake and obesity[J].Regulatory Peptides,2008,149 (1/3):15-25.
  • 6Sobocki J,Thor PJ,Uson J,et al.Microchip vagal pacing reduces food intake and body mass[J].Hepatogastroenterology,2001,48(12):1783-1787.
  • 7Iradj S,Marion B,Helene G,et al.Vagal stimulation rapidly increase leptin secretion in human stomach[J].Gastroenterology,2002,122 (2):259-263.
  • 8Buyse M,Berlioz F,Guilmeau S,et al.PepT1-mediated epithelial transport of dipeptide and cephalexin is enhanced by luminal leptin in the small intestine[J].J Clin Invest,2001,108 (10):1483-1494.
  • 9Stephen R.Bloom.Gut hormones and appetite control[J].Gastroenterology,2007,132 (6):2116-2130.
  • 10Wu JT,Kral JG.Ghrelin:integrative neuroendocrine peptide in health and disease[J].Ann Surg,2004,239(4):464-474.

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