Upper Gastrointestinal Bleeding Due to a Peptic Ulcer

被引：58

作者：

Laine, Loren ^{[1
,2
]}

机构：

[1] Yale Univ, Sch Med, New Haven, CT 06520 USA

[2] VA Connecticut Healthcare Syst, West Haven, CT USA

来源：

NEW ENGLAND JOURNAL OF MEDICINE | 2016年 / 374卷 / 24期

关键词：

LOW-DOSE ASPIRIN; PROTON-PUMP INHIBITOR; UPPER-GI HEMORRHAGE; HIGH-RISK; UNITED-STATES; ENDOSCOPY; THERAPY; PREVENTION; MANAGEMENT; MORTALITY;

D O I：

10.1056/NEJMcp1514257

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 55-year-old woman presents to the emergency department at 11:30 p.m. with hematemesis. She is otherwise healthy and has no risk factors for liver disease. Her only medication is aspirin (at a dose of 81 mg daily), which she started to take 6 months ago after reading that it reduces the risk of heart disease. The blood pressure is 94160 mm Hg, and the heart rate is 108 beats per minute; the physical examination is otherwise normal. The hemoglobin level is 11.0 g per deciliter, platelet count 220,000 per cubic millimeter, international normalized ratio 1.0, and blood urea nitrogen level 20 mg per deciliter (7.1 mmol per liter). How should this case be further evaluated and managed?

引用

页码：2367 / 2376

页数：10

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