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.
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