美国出血:流行病学,治疗成功和资源利用情况
Hata Mujadzic1,2, Shayan Noorani1,2, Philip J Riddle1,2
1Department of Internal Medicine, Prisma Health Midlands, Columbia, SC, USA.
Digestive diseases and sciences
|March 6, 2024
概括
胃出血的内镜血静是非常成功的95.1%. 然而,十二指肠与胃相比,呈现出更糟糕的结果和更高的成本,特别是救援治疗.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 流行病学 流行病学
背景情况:
- 胃病是导致上部胃肠道出血的主要原因.
- 了解治疗结果和患者人口统计数据对于管理这种情况至关重要.
研究的目的:
- 为了确定胃出血的流行病学.
- 评估各种治疗方式的血液静止成功率.
- 为了比较胃和十二指肠之间的结果.
主要方法:
- 使用国家住院患者样本进行回顾性队列研究.
- 包括因出血的非选择性成人入院情况.
- 分析内镜,放射学和外科血静成功率,死亡率和资源利用率.
主要成果:
- 分析了136425例住院病例,55%是胃潰瘍,45%是十二指腸潰瘍.
- 内镜血静成功率为95.1%.
- 十二指肠显示出较低的内镜血静成功率,较高的死亡率和增加的资源利用率.
结论:
- 在出血方面,内镜血静成功率高 (95.1%).
- 救援治疗与较低的成功率和显著增加的死亡率有关.
- 十二指甲状腺的结果较差,医疗费用比胃更高.
相关概念视频
Peptic Ulcer Disease IV: Management
92
Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current...
92
Esophageal Varices-II: Clinical Features and Management
66
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
66
Peptic Ulcer Disease V: Surgical Management and Nursing Care
303
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
303
Peptic Ulcer Disease I: Introduction
168
Peptic Ulcer Disease (PUD) is characterized by mucosal excavation in the esophagus, stomach, pylorus, or duodenum. It can manifest as acute or chronic based on the extent and duration of mucosal involvement.
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
An acute ulcer, marked by superficial erosion and minimal inflammation, swiftly resolves upon identifying and addressing the underlying cause. In contrast, a chronic ulcer persists, potentially eroding through the muscular wall and forming fibrous tissue.
Peptic ulcers can also be...
168
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
117
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
117
Peptic Ulcer Disease II: Pathophysiology
424
Peptic Ulcer Disease (PUD) is characterized by the development of ulcers in the stomach or duodenal mucosa. Its pathophysiology is complex, involving a balance between damaging and protective elements.
Damaging agents such as Helicobacter pylori, gastric acid, pepsin, and nonsteroidal anti-inflammatory drugs (NSAIDs) can weaken the mucosal defense, allowing hydrogen ions to infiltrate back and harm epithelial cells.
Damaging agents such as Helicobacter pylori, gastric acid, pepsin, and nonsteroidal anti-inflammatory drugs (NSAIDs) can weaken the mucosal defense, allowing hydrogen ions to infiltrate back and harm epithelial cells.
424


