急性冠脉综合征合并消化道出血的处理策略

被引：1

作者：

邓鹤秋

王琳

机构：

[1] 解放军第医院心内科

来源：

岭南心血管病杂志 | 2012年 / 18卷 / 01期

关键词：

冠状动脉疾病; 胃肠出血; 止血,内窥镜; 抗凝;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

1002 ; 100201 ;

摘要：

急性冠脉综合征(acute coronary syndrome,ACS)合并消化道出血的处理策略,应针对患者的ACS分类与危险分层、出血分级、贫血程度、血流动力学稳定与否、再出血与血栓形成风险等状况进行综合评估后具体作出,也可运用急性生理学和慢性健康评估Ⅱ(APACHEⅡ)评分来进行评估。原则上应停用抗凝药、慎用静脉止血药物与输血策略;无论是上消化道抑或下消化道出血,均应强调局部止血策略,及时内窥镜检查与内窥镜下局部止血是相对安全可行的。

引用

页码：85 / 89

页数：5

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