下消化道出血的临床诊治现状与指南解读

Lower Gastrointestinal Bleeding:Current State of Diagnosis and Treatment and Interpretation of the Clinical Guidelines

下消化道出血是临床常见急诊,但目前关于下消化道出血的研究多以回顾性或观察性为主,相关指南及共识也发布较晚,临床中针对下消化道出血患者的诊治尚不如上消化道出血患者诊治规范。本文将结合最新的临床研究及指南,从患者评估及内镜、介入和药物治疗等方面对下消化道出血的诊治现状进行总结与分析,旨在为临床实践提供更多的参考依据。

Lower gastrointestinal bleeding(LGIB)is a common clinical emergency.However,most of the published findings on LGIB were of retrospective or observational studies,and the relevant clinical guidelines and consensuses were not published until quite recently.In clinical practice,LGIB treatment is not as standardized as the treatment of upper gastrointestinal bleeding.Herein,on the basis of the latest clinical research findings on and guidelines for LGIB,we summarized and analyzed the existent diagnosis and treatment of LGIB from the perspectives of patient assessment and endoscopic,interventional and medication treatment,intending to provide more references to support the clinical practice.