摘要
上消化道出血并发急性冠状动脉综合征在临床中关注较少,但病死率高,缺乏标准治疗方案。为加强对上消化道出血并发急性冠状动脉综合征的认识,提高临床医师对该病的诊疗水平,现报道首都医科大学附属北京地坛医院收治的1例上消化道出血并发急性冠状动脉综合征患者。本例患者表现为黑便,诊断为上消化道出血后行胃镜下止血治疗,随后出现胸痛,心电图ST段出现动态演变,明确诊断急性冠状动脉综合征,经过积极输血、抑酸等治疗,临床症状得到持续缓解。上消化道出血并发急性冠状动脉综合征较少见,进展迅速,预后较差,对于出血量较大的患者积极输血治疗可能是较为安全、有效的治疗方案。
Upper gastrointestinal hemorrhage complicated with acute coronary syndrome is a rare disease in clinical practice with high mortality rate and has no standard treatment currently.In order to improve the understanding,diagnostic and therapeutic levels of upper gastrointestinal hemorrhage complicated with acute coronary syndrome,one case admitted to Beijing Ditan Hospital,Capital Medical University was reported.The patient was diagnosed as upper gastrointestinal hemorrhage with the symptom of melena.Gastroscopic hemostasis treatment was performed to stop bleeding.Then the patient occurred chest pain,and the ST segment of the electrocardiogram showed dynamic evolution,acute coronary syndrome was clearly diagnosed.The clinical symptoms were continuously relieved after active blood transfusion,acid suppression and other treatments.Upper gastrointestinal hemorrhage complicated with acute coronary syndrome was a rare disease with rapid progression and poor prognosis.For patients with a large amount of bleeding,active transfusion may be an effective treatment.
作者
纪世博
李贲
张雨
庄立伟
李炜
程丹颖
全敏
王笑梅
欧蔚妮
邢卉春
Ji Shibo;Li Ben;Zhang Yu;Zhuang Liwei;Li Wei;Cheng Danying;Quan Min;Wang Xiaomei;Ou Weini;Xing Huichun(Central of Liver Diseases Division 3,Beijing Ditan Hospital,Capital Medical University,Beijing 100015,China)
出处
《中国肝脏病杂志（电子版）》
CAS
2020年第3期85-88,共4页
Chinese Journal of Liver Diseases：Electronic Version
基金
吴阶平医学基金会(LDWJPMF-103-17001)
北京市医院管理局扬帆计划(XMLX201837)
“十三五”艾滋病和病毒性肝炎等重大传染病防治(2018ZX10302206-003-006)
北京市医院管理局消化内科学协同发展中心项目(XXT26)。
关键词
上消化道出血
急性冠状动脉综合征
治疗
Upper gastrointestinal hemorrhage
Acute coronary syndrome
Treatment
