儿童难治性消化道出血的治疗  

Treatment of refractory gastrointestinal bleeding in children

作　　者：王跃生 李小芹 Wang Yuesheng;Li Xiaoqin(Gastroenterology Department of Children's Hospital Affiliated to Zhengzhou University,Henan Children's Hospital,Zhengzhou Children's Hospital,Zhengzhou 450018,China)

机构地区：[1]郑州大学附属儿童医院、河南省儿童医院郑州儿童医院消化内科,450018

出　　处：《中国小儿急救医学》2025年第4期259-263,共5页Chinese Pediatric Emergency Medicine

摘　　要：儿童难治性消化道出血是临床诊治难度较高的消化科急危重症之一。临床上将难治性消化道出血定义为经过常规的止血措施仍难以控制,需外科手术或介入血管外科进一步处理的消化道出血。难治性消化道出血的治疗效果很大程度上取决于收治医疗单位的综合诊治水平,也取决于包括内镜科、外科、麻醉科和介入血管外科等多学科协作的诊疗管理。本文将系统阐述儿童难治性消化道出血的诊治研究进展,旨在为临床诊疗提供参考依据。Refractory gastrointestinal bleeding in children is one of the acute and critical diseases in the department of gastroenterology,which is difficult to diagnose and treat in clinic.Clinically,refractory gastrointestinal bleeding is defined as bleeding that remains uncontrollable after conventional hemostatic measures and requires further management by surgical or interventional vascular surgery.The therapeutic efficacy of refractory gastrointestinal bleeding largely depends on the comprehensive diagnostic and treatment capabilities of the medical institution,as well as on the multidisciplinary collaboration among endoscopy,surgery,anesthesia,and interventional vascular surgery in terms of diagnostic and therapeutic management.This article systematically discussed the advancements on the diagnosis and treatment of pediatric refractory gastrointestinal bleeding,aiming to provide a reference for clinical practice.

关 键 词：难治性消化道出血 治疗 儿童 

分 类 号：R725.7[医药卫生—儿科]