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首页 > 医学词汇大全 > Acute Nonvariceal Upper Gastrointestinal Bleeding
Acute Nonvariceal Upper Gastrointestinal Bleeding

消化

关键词消化 疾病 消化道疾病

词汇介绍

拓展阅读

解析

acute 英 [əˈkju:t] 美 [əˈkjut]

释义   adj. 严重的,[医] 急性的;敏锐的;激烈的;尖声的

例句   They think his illness is acute rather than chronic.他们认为他的病是急性的,不是慢性的。

 

nonvariceal 英 [nɒn værɪ'si:əl] 美 [nɒn ˌværɪ'si:əl]

释义   adj. 非静脉曲张的

例句   Objective:To summarize the clinical experience of acute nonvariceal upper gastrointestinal bleeding(ANVU GIB) 目的:总结急性非静脉曲张性上消化道出血的临床诊疗经验。

 

upper 英 [ˈʌpə(r)] 美 [ˈʌpɚ]

释义   adj. 上面的,上部的;较高的

例句   Above that is the "Upper Light Band, " and then the Creator Energy Itself.在那个光带的上方是“上层的光带, ”再上去是造物者能量本身。

 

gastrointestinal 英 [ˌgæstrəʊɪnˈtestɪnl] 美 [ˌgæstroʊɪnˈtestɪnl]

释义   adj. 胃肠的

例句   Target tissues may include muscles, tendons, ligaments, fascia, skin, joints, or other connective tissue and lymphatic vessels, or organs of the gastrointestinal system.靶组织可能包括肌肉,肌腱,韧带,筋膜,皮肤,关节,或其他结缔组织和淋巴管,或胃肠系统的机关。

 

bleeding 英 [ˈbli:dɪŋ] 美 [ˈblidɪŋ]

释义   n. 出血;渗色

adj. 流血的;同情的

v. 出血;渗出(bleed的ing形式);感到疼痛

例句   Do you have bleeding or sore gums?你有牙龈肿痛或出血的情况吗?


概述

急性非静脉曲张性上消化道出血(acute nonvariceal upper gastrointestinal bleeding,ANVUGIB)是指屈氏韧带以上消化道非静脉曲张性疾病引起的出血,也包括胰管或胆管的出血和胃空肠吻合术后吻合口附近疾病引起的出血。ANVUGIB的发病率近20年来在逐渐下降,目前趋于稳定。如美国ANVUGIB的发病率已从2001年的78.4/10万降至2009年的60.6/10万,其中消化性溃疡所致ANVUGIB的发病率也从48.7/10万降至

Outcomes and Role of Urgent Endoscopy in High-Risk Patients With Acute Nonvariceal Gastrointestinal Bleeding复制标题

急性非静脉曲张性消化道出血高危患者急诊内镜检查的结果和作用

发表时间:2018-03-05

影响因子:8.0

作者: Soo-Han Cho

期刊:Clinical Gastroenterology and Hepatology

Acute upper gastrointestinal bleeding (UGIB) is commonly encountered in emergency  departments (EDs), and can result in serious morbidity and mortality. Despite remarkable advancements in medical treatments and endoscopic interventions, the mortality from acute UGIB remains high at up to 14%.1-3 Several risk-stratification tools have been developed to predict the outcomes of patients with UGIB. Among these, the Glasgow–Blatchford score (GBS) and Rockall score have been commonly used in clinical practice.4, 5 The GBS was shown to be superior to the Rockall score in previous studies.6 Patients with GBS ≤2 are considered to have a low risk and eligible for outpatient management.7 Although the GBS cutoff for high-risk patients is still ambiguous, patients with GBS >7 were shown to have increased risks of significant bleeding and mortality.8 In many studies, high-risk patients showed an extremely high mortality of up to 25%.1, 9 Considering the poor outcomes of highrisk patients, it is critical to predict the clinical course of these patients in the ED, and provide timely and appropriate treatment.

译文

急性上消化道出血(UGIB)常见于急诊室(ED),可导致严重的发病率和死亡率。尽管在医学治疗和内镜干预方面取得了显着进步,但急性UGIB的死亡率仍高达14%.1-3已开发出几种风险分层工具来预测UGIB患者的预后。其中,Glasgow-Blatchford评分(GBS)和Rockall评分常用于临床实践.4,5 GBS在以前的研究中显示优于Rockall评分.6GBS≤2的患者被认为具有虽然高风险患者的GBS截止值仍然不明确,但GBS> 7的患者显示出明显出血和死亡的风险增加.8在许多研究中,高风险患者表现出来极高的死亡率高达25%.1,9考虑到高危患者的预后不良,预测这些患者在急诊室的临床过程至关重要,并提供及时和适当的治疗。