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对于急性上消化道出血,临床特点和内镜检查可判断预后,包括再出血和死亡。临床上严重出血患者常常被收治入院,但对于那些可在门诊处理的患者无疑会增加不必要的医疗费用。本文报告了采用门诊治疗的大宗连续病例的特点和结果,以及如何使用英格兰危险评分系统对患者进行评分。病例和方法从1993年到1996年,根据既定准则选择急性上消化道出血患者进行门诊治疗和随访,排除少量出血患者(即无便血、贫血或体位改变引起生命体征变化),所有患者大于18岁,内镜检查前7天内
For acute upper gastrointestinal bleeding, clinical features and endoscopy can be prognosticated, including rebleeding and death. Patients with clinically severe bleeding are often admitted to hospital, but for those who can be treated in an outpatient setting, they undoubtedly increase unnecessary medical costs. This article reports on the characteristics and outcomes of a large number of consecutive outpatient cases and on how to score patients using the England Danger Scoring System. Cases and Methods From 1993 to 1996, patients with acute upper gastrointestinal bleeding were selected for outpatient treatment and follow-up based on established guidelines to exclude small numbers of bleeding patients (ie, no bloody stools, anemia, or changes in physical status), all of whom were older than 18 years , Within 7 days before endoscopy