上消化道出血内镜前评分系统的研究现状
Research Status of Pre-Endoscopic Scoring System for Upper Gastrointestinal Bleeding
DOI: 10.12677/ACM.2023.13112396, PDF,   
作者: 吴 莎, 向志钢：吉首大学医学院，湖南 吉首；唐昭喜*：吉首大学第一附属医院急诊科，湖南 吉首
关键词: 上消化道出血；评分系统；输血；再出血；临床干预；预后评估；Upper Gastrointestinal Hemorrhage； Scoring System； Blood Transfusion； Rebleeding； Clinical Intervention； Prognosis Assessment
摘要: 急性上消化出血是急诊科常见的危急重症之一，患者上消化道出血的严重程度不一，临床干预与预后不同，门诊医生准确评估患者上消化道出血的严重程度，对指导患者的进一步诊治有重要意义。国际上存在着多种关于上消化道出血危重程度的评分系统，在不断更新的上消化道出血的诊治规范中，未能指出最佳的评分系统，因各种评分都有其优缺点，无法从单一方面评价其好坏，且不同评分使用的对象不同，结合急诊接诊的患者不一定能及时的完善胃镜检查的情况，本文对不包含内镜结果的镜前Rokall评分、Glasgow Blatchford评分、mGBS评分、T评分、AIMS65、ABC评分、Child-Pugh分级、MELD评分进行介绍，从而找出适用于急诊的评分系统。
Abstract: Acute upper gastrointestinal bleeding is one of the common critical and severe cases in emergency departments. The severity of upper gastrointestinal bleeding varies among patients, and clinical interventions and prognosis vary. Accurate evaluation of the severity of upper gastrointestinal bleeding by outpatient doctors is of great significance for guiding further diagnosis and treatment of patients. There are various scoring systems available internationally regarding the severity of up-per gastrointestinal bleeding. However, in the constantly updated diagnostic and treatment stand-ards for upper gastrointestinal bleeding, the best scoring system has not been identified. Due to the advantages and disadvantages of each scoring system, it is not possible to evaluate its quality from a single perspective, and different scoring systems are used for different objects. Combining emer-gency patients may not be able to timely improve the condition of gastroscopy examination. This article introduces the preoperative Rokall score, Glasgow Blackford score, mGBS, T score, AIMS65, ABC score, Child Pugh score, and MELD score that do not include endoscopic results, in order to identify a scoring system suitable for emergency treatment.
文章引用：吴莎, 唐昭喜, 向志钢. 上消化道出血内镜前评分系统的研究现状[J]. 临床医学进展, 2023, 13(11): 17097-17104. https://doi.org/10.12677/ACM.2023.13112396

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