急性非静脉曲张性上消化道出血治疗的研究进展

Research progress in treatment of acute nonvariceal upper gastrointestinal bleeding

急性上消化道出血是一种常见的临床疾病,其中急性非静脉曲张性上消化道出血占了其绝大多数。尽管已经成熟的内镜技术下临床医师对急性非静脉曲张性上消化道出血有了较强的诊断和治疗能力,但急性出血患者的预后仍不尽人意。治疗急性非静脉曲张性出血需要多学科交叉配合,以达到最佳的预后。近些年来,新兴的内镜技术层出不穷,在治疗消化道出血时给了临床医生更多的选择,但这些技术的有效性及安全性仍有待研究。本文主要对急性非静脉曲张性上消化道出血的治疗策略进行综述。

Acute upper gastrointestinal bleeding is a common clinical disease,in which acute non-variceal upper gastrointestinal bleeding accounts for the majority.Although clinicians have a strong ability to diagnose and treat acute nonvariceal upper gastrointestinal bleeding under mature endoscopic techniques,the prognosis of patients with acute bleeding is still unsatisfactory.The treatment of acute non-variceal bleeding needs multidisciplinary cooperation to achieve the best therapeutic effect.In recent years,emerging endoscopic techniques have emerged one after another,giving clinicians more choices in treating upper gastrointestinal bleeding,but the effectiveness and safety of these techniques still need to be studied.This article mainly reviews the treatment strategies of acute non-variceal upper gastrointestinal bleeding.