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上胃肠道大量出血患者的合理处理,首先需要正确的诊断。本文中所谓之早期诊断,系指入院后24—48小时之内得到的诊断而言。依患者的病情,常常需要在最初观察的24—48小时内,决定是否需要急诊手术。除非诊断已经认为肯定,否则不能施行手术治疗。患者在入院时常有呕血现象,也可有柏油样大便;偶或可以见到只有柏油样的、茶褐色的或深红色的大便,但无呕血的病例。无论如何,从实用观点看来,呕血的出
On the gastrointestinal tract bleeding in patients with a reasonable treatment, we must first correct diagnosis. In this article, the so-called early diagnosis refers to the diagnosis within 24-48 hours after admission. Depending on the patient’s condition, it is often necessary to decide whether emergency surgery is required within 24-48 hours of initial observation. Unless the diagnosis has been affirmed, or can not be operated on. Patients often have hematemesis on admission and can also have tarry stools; occasionally they can only see asparagus, brown or dark red stool but no vomiting. Anyway, from a pragmatic point of view, vomiting out of the blood