Management of upper gastrointestinal bleeding emergencies： evidence-based medicine and practical considerations

作     者：Zongyu John Chen Martin L Freeman 

作者机构：Minnesota Gastroenterology PA Minneapolis MN 55414 Department of Gastroenterology Hepatology andNutrition University of Minnesota Medical School Minneapolis MN 55455 (Freeman ML) USA 

出 版 物：《World Journal of Emergency Medicine》 (世界急诊医学杂志（英文）)

年 卷 期：2011年第2卷第1期

页      面：5-12页

学科分类：0401[教育学-教育学] 04[教育学] 040110[教育学-教育技术学（可授教育学、理学学位）] 

主　　题：Emergency medicine Upper gastrointestinal bleeding Evidence-based medicine 

摘      要：Acute upper gastrointestinal （GI） bleeding remains one of the most common encounters in emergency medicine. The increased use of non-steroid anti-inflammatory drugs by the general population and the increased prescription of anti-platelet agents and anti-coagulants after cardiovascular interventions and for prevention of cerebral vascular accidents may have aggravated the situation. Significant progress has been made in the past decade or so in the non-surgical management of acute upper GI bleeding emergencies. This article will review the current standard treatment of the most common upper GI bleeding emergencies in adults as supported by evidence- based medicine with practical considerations from the authors＇ own practice experience.