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急性上消化道出血急诊诊治流程专家共识（2020版）
中国医师协会急诊医师分会
中华医学会急诊医学分会
全军急救医学专业委员会
中国急诊专科医联体
北京急诊医学学会
作者及单位信息
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DOI： 10.3760/cma.j.issn.1671-0282.2021.01.006
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摘要

急性上消化道出血是急诊常见的急危重症之一，成年人每年发病率为100/10万~180/10万 [ 1 ] ，病死率为2%~15% [ 2 ] 。规范急诊诊治流程对改善预后意义重大。近5年急性上消化道出血临床诊疗出现许多进展 [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ] ，因此中国医师协会急诊医师分会组织急诊科、消化科、介入科、外科等多学科专家，在2015版共识的基础上，对急性上消化道出血急诊诊治流程专家共识进行2020版（第三次）更新。

引用本文

中国医师协会急诊医师分会,中华医学会急诊医学分会,全军急救医学专业委员会,等. 急性上消化道出血急诊诊治流程专家共识（2020版）[J]. 中华急诊医学杂志,2021,30(01)：15-24.

DOI:10.3760/cma.j.issn.1671-0282.2021.01.006

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急性上消化道出血是急诊常见的急危重症之一，成年人每年发病率为100/10万~180/10万 [ 1 ]，病死率为2%~15% [ 2 ]。规范急诊诊治流程对改善预后意义重大。近5年急性上消化道出血临床诊疗出现许多进展 [ 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 , 18 ]，因此中国医师协会急诊医师分会组织急诊科、消化科、介入科、外科等多学科专家，在2015版共识的基础上，对急性上消化道出血急诊诊治流程专家共识进行2020版（第三次）更新。
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附录
附表1
The Glasgow Blatchford Score (GBS)评分系统
指标 参数 得分
收缩压（mmHg） 100~109 1
    90~99 2
    <90 3
血尿素氮（mmol/L） 6.5~7.9 2
    8.0~9.9 3
    10.0~24.9 4
    ≥25 6
血红蛋白（g/L）    
  男性 120~129 1
    100~119 3
    <100 6
  女性 100~119 1
    <100 6
其他表现    
  脉搏 ≥100次/min 1
  黑便 存在 1
  晕厥 存在 2
  肝脏疾病 存在 2
  心力衰竭 存在 2
展开表格
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周荣斌，Email: mocdef.aabnisnibgnoruohz_rd
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赵晓东，Email: mocdef.6ab2151736dxz
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吕传柱，Email: mocdef.6ab21776uhznauhcvl
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于学忠，Email: nc.defmoabc.liamdemzxy
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中国医学科学院中央级公益性科研院所基本科研业务费项目 (2017PT31009)
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