INTRAMURAL GASTROINTESTINAL HEMORRHAGE
INTRAMURAL GASTROINTESTINAL HEMORRHAGE
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DOI：
10.1097/00004836-198606002-00012
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发表时间：
1986-06-01
影响因子：
2.9
通讯作者：
GILLIAM, JI
中科院分区：
文献类型：
--
作者：
GRIFFIN, PH;SCHNURE, FW;GILLIAM, JI
如果患者在服用抗凝剂后出现急性腹部症状，凝血参数超出治疗范围，应怀疑胃肠道壁内出血。同样地，患有先天性出血性疾病的患者可能会出现壁内出血。放射学检查可见特征性表现，超声或计算机断层扫描可能是有价值的非侵入性诊断方法。腹腔穿刺术可支持诊断。保守治疗不需要手术干预，更换凝血因子可迅速恢复。
Intramural gastrointestinal hemorrhage should be suspected in patients taking anticoagulants who develop acute abdominal symptoms with clotting parameters out of the therapeutic range. Likewise, patients with inherent bleeding disorders may present with intramural hemorrhage. Characteristic features are seen on radiological examination; ultrasonography or computed tomography may be valuable noninvasive diagnostic approaches. The diagnosis may be supported by abdominal paracentesis. Surgical intervention is not necessary as conservative treatment, with replacement of clotting factors leading to rapid recovery.