急性非静脉曲张性上消化道出血内镜治疗时机的研究进展

陶莹莹; 郑晖; 杨建锋

doi:10.14188/j.1671-8852.2024.0100

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急性非静脉曲张性上消化道出血内镜治疗时机的研究进展

综述 | 更新时间：2026-11-05

- 急性非静脉曲张性上消化道出血内镜治疗时机的研究进展
- Advances in endoscopic treatment timing for acute non⁃variceal upper gastrointestinal bleeding
- 武汉大学学报（医学版） 2025年46卷第9期页码：1218-1223
- 作者机构：
  
  1.浙江中医药大学浙江杭州 310000
  2.杭州市第九人民医院急诊科浙江杭州 310000
  3.西湖大学医学院附属杭州市第一人民医院消化内科浙江杭州 310000
- 作者简介：
  
  陶莹莹,女，1996—，医学硕士生，主要从事急诊内镜时机及内镜前评分研究，E‑mail：18368114135@163.com
  杨建锋,男，1976—，医学博士，主任医师，主要从事胆胰疾病的内镜诊治、肠易激综合征等功能性胃肠疾病的基础与临床研究，E‑mail：yjf‑1976@163.com
- 基金信息：
  
  杭州市农业与社会发展科研引导项目(20220919Y071)
- DOI：10.14188/j.1671-8852.2024.0100
  中图分类号： R573.2
- 收稿：2024-02-08，
  
  纸质出版：2025-09-26
- 稿件说明：
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陶莹莹,郑晖,杨建锋.急性非静脉曲张性上消化道出血内镜治疗时机的研究进展[J].武汉大学学报（医学版）,2025,46(09):1218-1223.

TAO Yingying,ZHENG Hui,YANG Jianfeng.Advances in endoscopic treatment timing for acute non⁃variceal upper gastrointestinal bleeding[J].Medical Journal of Wuhan University,2025,46(09):1218-1223.
陶莹莹,郑晖,杨建锋.急性非静脉曲张性上消化道出血内镜治疗时机的研究进展[J].武汉大学学报（医学版）,2025,46(09):1218-1223. DOI： 10.14188/j.1671-8852.2024.0100.

TAO Yingying,ZHENG Hui,YANG Jianfeng.Advances in endoscopic treatment timing for acute non⁃variceal upper gastrointestinal bleeding[J].Medical Journal of Wuhan University,2025,46(09):1218-1223. DOI： 10.14188/j.1671-8852.2024.0100.

摘要

急性非静脉曲张性上消化道出血（ANVUGIB）作为一种常见的危急重症，在临床治疗中显得尤为重要。内镜检查作为有效的直接观察和止血治疗手段，不仅有助于明确出血原因，而且提供及时干预，已成为处理此类出血的首选措施。针对内镜检查的前期评估有助于医生作出迅速而精准的治疗决策。内镜治疗的时机对患者的预后有着至关重要的影响，而对于紧急内镜时机及其对患者预后的影响仍有待深入研究。本综述旨在探讨ANVUGIB的内镜前评估及治疗时机，特别是紧急内镜对临床结果的影响，同时提供实用指南并对未来研究方向提出建议。

Abstract

Acute non‑variceal upper gastrointestinal bleeding (ANVUGIB) is a common and critical condition in clinical practice. Endoscopic examination

serving as an effective method for direct observation and hemostatic treatment

not only helps in identifying the cause of bleeding but also provides timely intervention

making it the preferred approach for managing such hemorrhagic events. Pre‑endoscopic assessment enables physicians in making rapid and accurate treatment decisions. The timing of endoscopic treatment is crucial for patient prognosis

and further research is needed on the impact of emergency endoscopy timing on patient outcomes. This review aims to explore pre‑endoscopic evaluation and treatment timing for ANVUGIB

especially the impact of emergency endoscopy on clinical outcomes

providing practical guidelines and suggesting directions for future research.

关键词

Keywords

references

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