治疗尿毒症合并下消化道出血1例及文献复习  

Treatment of Uremia with Lower Gastrointestinal Bleeding: A Case Report and Literature Review

作　　者：王宝福[1] 黄林川 谢席胜[1] 张涛[2] 周晓晴[2] 

机构地区：[1]川北医学院第二临床学院(南充市中心医院)肾内科,慢性肾脏病基础与临床研究南充市重点实验室,四川 南充 [2]川北医学院第二临床学院(南充市中心医院)消化内科,四川 南充

出　　处：《医学诊断》2020年第3期154-163,共10页Medical Diagnosis

摘　　要：目的:治疗尿毒症伴下消化道出血1例,并进行文献复习,总结经验。方法:回顾分析1例尿毒症合并下消化道出血病人的诊疗过程,查阅、复习下消化道出血的相关文献,综述文献结论。结果:通过内镜下止血成功处理急性下消化道出血,通过对原发病的治疗,治愈慢性下消化道出血。结论:内镜下止血对急性下消化道出血的抢救具有很好作用,为治疗原发病争取了时间,寻找下消化道出血原发病并进行治疗才能达到最终治疗效果。Objective: To treat one case of uremia with lower gastrointestinal bleeding, and to review the lit-erature and summarize the experience. Methods: A case of uremia complicated with lower gas-trointestinal bleeding was retrospectively analyzed. The related literatures of lower gastrointes-tinal bleeding were reviewed and the literature conclusions were reviewed. Results: Acute lower gastrointestinal bleeding was successfully treated by endoscopic hemostasis, and chronic lower gastrointestinal bleeding was cured by treatment of primary disease. Conclusion: Endoscopic he-mostasis has a good effect on the rescue of acute lower gastrointestinal bleeding, and it can gain time for the treatment of primary disease. Only by looking for the primary disease of lower gas-trointestinal bleeding and treating it can we achieve the final therapeutic effect.

关 键 词：尿毒症 下消化道出血 内镜 

分 类 号：R47[医药卫生—护理学]