消化道出血 massive bleeding from UGI.pptVIP

Differential Diagnosis and Management principles of Upper Gastrointestinal Hemorrhage Chao LIU Sun Yat-sen Memorial Hospital Bleeding from the mouth to the proximal jejunum (Treitz ligament) A common abdominal emergency A major cause of morbidity and mortality (5% - 10%) Massive uGIH Blood loss 800 ml or 20% of circulating blood volume Special symptoms of massive uGIH Hematemesis Melena: black sticky and foul-smelling stool, liquid or semisolid Hematochezia: passage of bright red rectally Causes of massive uGIH Peptic ulcer: about 50% (3/4 duodenal ulcer) Varices: 25% Stress ulc