在急性胃肠道出血中拯救生命的几分钟:早期与早期的系统审查. 延迟内镜检查方法
Sara Abdalaziz Mohammed Ibrahim1, Hamza Abubaker Abdin Sidahmed2, Israa Elfadil Ali Ahmed3
1Internal Medicine, Healthline Medical Group, Abu Dhabi, ARE.
Cureus
|January 28, 2026
概括
在24小时内进行早期内镜检查,改善了非的上胃肠道出血 (NVUGIB) 的结果. 紧急内镜 (6-12小时) 对于高风险患者是最好的,而常规早期使用对大多数患者有益.
科学领域:
- 胃肠病学 胃肠病学
- 内镜医学是一种内镜医学.
- 临床管理 临床管理
背景情况:
- 非的上部胃肠道出血 (NVUGIB) 是一种严重的医疗紧急情况.
- 在NVUGIB中进行内镜干预的最佳时间仍然是争论的主题.
- 患者风险分层影响了有关紧急和早期内镜的决策.
研究的目的:
- 系统地审查内镜定时对NVUGIB结果的影响.
- 评估对死亡率,再出血,干预和卫生系统效率的影响.
- 考虑特定的患者群体,如老年人和服用抗凝药的人.
主要方法:
- 按照PRISMA 2020指南进行系统审查.
- 从随机试验,队列研究和数据库分析中综合证据.
- 紧急 (6-12小时) 与早期 (24小时) 内镜时间的比较分析.
主要成果:
- 早期内镜 (24小时内) 与更短的住院时间,成本降低和更好的出院结果有关,特别是在高风险患者中.
- 紧急内镜 (6-12小时) 可能有利于血液动力学不稳定或高风险个体.
- 在低风险患者中,例行紧急内镜检查不能提高存活率,可能会增加复出血的风险.
结论:
- 在24小时内进行内镜检查为NVUGIB管理提供了安全性和效率的最佳平衡.
- 一个24小时的窗口应该是最好的护理标准.
- 应为精心挑选的高风险患者保留紧急内镜手术.
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