Diagnosis and treatment of upper gastrointestinal bleeding in patients with acute cerebrovascular accident
- 作者: Korolev M.1, Spesivtsev Y.1, Fedotov L.1, Klimov A.1, Terekhov I.2, Kondratyev A.2, Daliev B.3, Doniyarov S.4
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隶属关系:
- St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- Russian Polenov Research Neurosurgical Institute
- SM-Clinic
- St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
- 期: 卷 10, 编号 5 (2019)
- 页面: 43-50
- 栏目: Original studies
- URL: https://journals.rcsi.science/pediatr/article/view/19155
- DOI: https://doi.org/10.17816/PED10543-50
- ID: 19155
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Bleeding from the upper gastrointestinal tract is one of the most dangerous complications in patients with acute CVA (ischemic and/or hemorrhagic type). The combination of these conditions requires special attention in the diagnosis and choice of treatment methods. Central Nervous System pathology makes diagnosis, choosing methods of treatment and the use of drug more complicated to surgeons in the postoperative period. With onset of hemorrhage, antithrombotic treatment should be canceled, that can negatively affect the results of treatment of patients with ischemic type of cerebral vascular accident. The use of anti-ulcer drugs, namely proton pump inhibitors, may increase the risk of hospital-acquired pneumonia, Clostridium difficile infections, and cardiovascular diseases. These factors force us to consider issues related to diagnosis and treatment plans in this group of patients. The most promising direction in the treatment of patients with ischemic or hemorrhagic stroke in combination with gastroduodenal bleeding is the identification of risk factors for upper gastrointestinal bleeding, early endoscopic diagnosis and treatment, performing preventive treatment. The article presents a brief review of domestic and foreign literature, some issues of etiology and pathogenesis of gastroduodenal bleeding in patients with cancer, the results of our own research, capabilities of modern endoscopy in the diagnosis and treatment of gastrointestinal bleeding in this group of patients. The algorithm of management of patients with a combination of bleeding from the upper gastrointestinal tract and CNS pathologies.
作者简介
Mikhail Korolev
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
编辑信件的主要联系方式.
Email: korolevmp@yandex.ru
MD, PhD, Dr Med Sci, Professor, Head, Department of General Surgery with a Course of Endoscopy
俄罗斯联邦, St. PetersburgYuriy Spesivtsev
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: spesivtsev1952@mail.ru
MD, PhD, Dr Med Sci, Professor, Department of General Surgery with a Course of Endoscopy
俄罗斯联邦, Saint PetersburgLeonid Fedotov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: Fedotov-Le@yandex.ru
MD, PhD, Dr Med Sci, Professor, Department of General Surgery with a Course of Endoscopy
俄罗斯联邦, Saint PetersburgAleksey Klimov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: klimorl@mail.ru
MD, PhD, Assistant Professor, Department of General Surgery with a Course of Endoscopy
俄罗斯联邦, Saint PetersburgIgor Terekhov
Russian Polenov Research Neurosurgical Institute
Email: igor_terekhov@inbox.ru
Anesthesiologist, Department of Anesthesiology and Resuscitation
俄罗斯联邦, Saint PetersburgAnatoliy Kondratyev
Russian Polenov Research Neurosurgical Institute
Email: Anest-neuro@mail.ru
MD, PhD, Dr Med Sci, Professor, Head, Department of Anesthesiology and Resuscitation
俄罗斯联邦, Saint PetersburgBahodir Daliev
SM-Clinic
Email: bahodirdaliev@gmail.com
Otorhinolaringologist, ENT Department
俄罗斯联邦, Saint PetersburgShokhrukh Doniyarov
St. Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation
Email: shoxrux.daniyarov@gmail.com
Postgraduate Student, Department of General Surgery with a Course of Endoscopy
俄罗斯联邦, St. Petersburg参考
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