急性非静脉曲张性上消化道出血评分系统的特点与展望

Characteristics and prospect for the risk assessment scores in patients with acute nonvariceal upper gastrointestinal bleeding

急性非静脉曲张性上消化道出血(ANVUGIB)是一种常见的急症,其严重程度从不需要干预的轻微症状到需紧急内镜检查或手术的出血性休克。国际共识指南建议对ANVUGIB患者早期危险分层,将可能需要临床干预和住院治疗的高风险患者与发生并发症机会较小的低风险患者区分开来,对于优化护理、有效分配资源非常重要。本文介绍了目前临床上常用的Rockall、Glasgow-Blatchford(GBS)、AIMS65等评分系统,并对其特点与展望进行综述。

Upper gastrointestinal bleeding(UGIB)is a common emergency,UGIB encompasses a wide range of minor bleeding that may not require intervention to hemorrhagic shock requiring emergency endoscopy or surgery.The international consensus guidelines recommend use risk scoring systems to early assessment patients with UGIB.Which may be useful to distinguish high-risks patients,who may need clinical intervention and hospitalization,from low risk patients with a lower chance of developing complications,in which management as outpatients can be considered.It is important to optimize care and allocate resources efficiently.This article will review and compare the characteristic of Rockall、Glasgow-Blatchford(GBS)、AIMS65 scoring systems,which are widely used to evaluate the prognosis of patients with UGIB.