2012年，急性非静脉曲张的胃肠道出血的诊断和治疗指南.docVIP

2012年，急性非静脉曲张的胃肠道出血的诊断和治疗指南 In 2012, the guidelines for the diagnosis and treatment of gastrointestinal hemorrhage in acute non-venous varicose veins (draft) were made by the Chinese medical journal editorial committee 1, the definition of acute the varices sex upper gastrointestinal bleeding (acute nonvaricealupper gastrointestinal bleeding, ANVUGIB) refers to the above closely ligament of varicose veins of the digestive tract diseases caused by bleeding, including the pancreatic duct or bile duct bleeding and jejunum anastomosis near postoperative anastomotic disorders caused by stomach bleeding, annual incidence of 50 ~ 150/10, the case fatality rate is 6% ~ 10%. Second, the diagnosis of ANVUGIB 1. The patients symptoms of hematemesis, black and dizziness, pale face, the heart rate increase fast, lower blood pressure and other peripheral circulatory failure signs, basic may establish a diagnosis of acute upper gastrointestinal bleeding. ANVUGIB diagnosis can be established by endoscopic examination of the varicose vein in the stomach and hemorrhage in the upper gastrointestinal tract. 3. The following situations can be misdiagnosed as ANVUGIB: some of the mouth, nose, pharynx, or respiratory tract bleeding lesions is swallowed into the esophagus, take some drugs (such as iron agent, bismuth agent, etc.) and food (such as animal blood) black stool. The patient can be tested for gastric juice, vomit or stool. In some patients, the amount of blood is larger, and the intestine can move too fast and the blood can be found. A few patients only had an image of peripheral failure, and there was no apparent hemorrhage, and such patients should not be missed. The etiology of ANVUGIB 1. ANVUGIB cause many, mostly caused by upper gastrointestinal lesions, a few for bile pancreatic disease causing, with peptic ulcer, upper gastrointestinal tumors, stress ulcer, the most common acute or chronic upper gastrointestinal mucosal inflammation. Rare Mallory - Weiss syndrome, upper g