1、上消化道大出血Massive Upper Gastrointestinal Bleeding上海交通大学医学院瑞金临床医学院2009Introduce Ourselvesn Dr. Yang&n Dr. LiBasic ConceptsWhat Is Massive Bleedingn 20% (800ml) blood lossn Hemodynamic instability血流动力学不稳n Clinical signs of poor perfusion组织灌注差What Is UGIn Esophagus食道n Stomach胃n Duodenum十二指肠n Jejunum空肠n Il
2、eum回肠n Ascending Colon升结肠n Transverse Colon横结肠n Descending Colon降结肠n Sigmoid Colon乙结肠n Rectum直肠n Anus肛门Please Remembern UGIB is not uncommon in the emergency roomn Mortality rate is about 10% n UGIB is a series of diseases mainly treated by internal medicine.n 3-15% require a surgical procedureLets have a problem!Patient Comen 45-yr femalen first episode of hematemesis呕血n transferred from a small hospitaln 2 units of packed erythrocyte红细胞 tranfusedn nasogastric tube胃管 introduced with active bleedingn pulse 120 bpm, BP 80/40 mmHg
