儿童消化道出血的围手术期管理
Perioperative management of gastrointestinal bleeding in children
戚伶俐 1黄新星 1钟媛 1王丽波1
作者信息
- 1. 吉林大学第一医院小儿消化科,吉林长春 130021
- 折叠
摘要
消化道出血是儿科常见疾病,按出血部位不同可分为上消化道出血和下消化道出血.消化内镜是诊断消化道出血的重要手段,内镜检查的时间越早,出血病因的检出率越高,因此在血流动力学稳定的情况下,需尽快完善消化内镜检查.当血流动力学不稳定时,应积极液体复苏,并倡导限制性输血策略.充分的肠道准备对于结肠镜、小肠镜及胶囊内镜的质量非常重要.文章对儿童消化道出血的围手术期管理进行归纳总结,并着重阐述肠道准备的注意事项.
Abstract
Gastrointestinal bleeding is a common disease in children,which can be divided into upper gastrointestinal bleeding and lower gastrointestinal bleeding according to the location of bleeding.Digestive endoscopy is an important approach to diagnosing the cause of gastrointestinal bleeding.The earlier the endoscopy is conducted,the higher the diagnostic rateis.Therefore,when the hemodynamics is stable,digestive endoscopy should be performed as soon as possible.When hemodynamics is unstable,fluid resuscitation should be activated and restrictive transfusion strategy should be adopted.Adequate bowel preparation is important for the quality of colonoscopy,enteroscopy,and capsule endoscopy.In this review,we summarize the perioperative management of gastrointestinal bleeding in children,and focuses on bowel preparation.
关键词
消化道出血/围手术期管理/肠道准备Key words
gastrointestinal bleeding/perioperative manage-ment/bowel preparation引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据