. "15110" . "RIV/61989592:15110/08:00007196" . "Urgentn\u00ED endoskopie a terapie krv\u00E1cen\u00ED do tr\u00E1vic\u00ED trubice ? na\u0161e zku\u0161enosti"@cs . . "4"^^ . . "S" . "Emergency endoscopy and therapy of gastrointestinal bleeding- own experience"@en . "Praha" . "Kone\u010Dn\u00FD, Michal" . "401658" . . "RIV/61989592:15110/08:00007196!RIV09-MSM-15110___" . . . . "Proch\u00E1zka, Vlastimil" . "Ehrmann, Ji\u0159\u00ED" . . "Akutn\u00ED krv\u00E1cen\u00ED do horn\u00ED \u010D\u00E1sti tr\u00E1vic\u00EDho traktu (HGIT) je st\u00E1le dramatickou a \u017Eivot ohro\u017Euj\u00EDc\u00ED p\u0159\u00EDhodou s relativn\u011B vysokou incidenc\u00ED (100 ? 190 /na 100 000 obyvatel). I p\u0159es vyu\u017Eit\u00ED nejmodern\u011Bj\u0161\u00EDch diagnostick\u00FDch a l\u00E9\u010Debn\u00FDch postup\u016F je n\u011Bkdy nezvladatelnou n\u00E1hlou p\u0159\u00EDhodou , kter\u00E1 je zat\u00ED\u017Eena vysokou letalitou (5 ? 17 %) a zna\u010Dn\u00FDmi ekonomick\u00FDmi n\u00E1klady. Nejefektivn\u011Bj\u0161\u00EDm p\u0159\u00EDstupem v p\u00E9\u010Di o nemocn\u00E9 s krv\u00E1cen\u00EDm do GIT se zd\u00E1 b\u00FDt interdisciplin\u00E1rn\u00ED spolupr\u00E1ce chirurga, internisty, endoskopisty a p\u0159\u00EDpadn\u011B interven\u010Dn\u00EDho radiologa. Klasick\u00FDmi p\u0159\u00EDznaky akutn\u00EDho krv\u00E1cen\u00ED do HGIT jsou hematemeza a melena. Vz\u00E1cn\u011B, p\u0159i masivn\u00EDm krv\u00E1cen\u00ED a rychl\u00E9 pas\u00E1\u017Ei, se m\u016F\u017Ee i krv\u00E1cen\u00ED do HGIT projevit enteroragi\u00ED. Je\u0161t\u011B p\u0159ed klasick\u00FDmi p\u0159\u00EDznaky, m\u016F\u017Ee v klinick\u00E9m obraze dominovat symptomatologie hemodynamick\u00E9 nestability i s p\u0159echodnou poruchou v\u011Bdom\u00ED nebo komplikacemi z poruch kardiovaskul\u00E1rn\u00EDho syst\u00E9mu (akutn\u00ED infarkt myokardu ). \u010Cast\u00FDm zdrojem krv\u00E1cen\u00ED jsou ulcerace duodena (25 %) a \u017Ealudku (20 %), varixy j\u00EDcn"@cs . . . "[C4DDEE14A288]" . "Urgentn\u00ED endoskopie a terapie krv\u00E1cen\u00ED do tr\u00E1vic\u00ED trubice ? na\u0161e zku\u0161enosti"@cs . . "Aktu\u00E1ln\u00ED gastroeterologie XXII" . "Urgentn\u00ED endoskopie a terapie krv\u00E1cen\u00ED do tr\u00E1vic\u00ED trubice ? na\u0161e zku\u0161enosti" . "3"^^ . "Emergency endoscopy and therapy of gastrointestinal bleeding- own experience"@en . "3"^^ . "Urgentn\u00ED endoskopie a terapie krv\u00E1cen\u00ED do tr\u00E1vic\u00ED trubice ? na\u0161e zku\u0161enosti" . "JS Partner s.r.o. JS Press" . . . . "978-80-87036-23-5" . . . "Acute gastrointestinal bleeding is emergency and live dangerous situation with hight mortality rate. Endoscopic procedures and hospitalization in intenzive care unit are necessary for diagnosis and treatment . The complex of the therapy is very expensive. Reduction in mortality and economic parameters was reached by change of care into multidisciplinary centralization unit."@en . "Akutn\u00ED krv\u00E1cen\u00ED do horn\u00ED \u010D\u00E1sti tr\u00E1vic\u00EDho traktu (HGIT) je st\u00E1le dramatickou a \u017Eivot ohro\u017Euj\u00EDc\u00ED p\u0159\u00EDhodou s relativn\u011B vysokou incidenc\u00ED (100 ? 190 /na 100 000 obyvatel). I p\u0159es vyu\u017Eit\u00ED nejmodern\u011Bj\u0161\u00EDch diagnostick\u00FDch a l\u00E9\u010Debn\u00FDch postup\u016F je n\u011Bkdy nezvladatelnou n\u00E1hlou p\u0159\u00EDhodou , kter\u00E1 je zat\u00ED\u017Eena vysokou letalitou (5 ? 17 %) a zna\u010Dn\u00FDmi ekonomick\u00FDmi n\u00E1klady. Nejefektivn\u011Bj\u0161\u00EDm p\u0159\u00EDstupem v p\u00E9\u010Di o nemocn\u00E9 s krv\u00E1cen\u00EDm do GIT se zd\u00E1 b\u00FDt interdisciplin\u00E1rn\u00ED spolupr\u00E1ce chirurga, internisty, endoskopisty a p\u0159\u00EDpadn\u011B interven\u010Dn\u00EDho radiologa. Klasick\u00FDmi p\u0159\u00EDznaky akutn\u00EDho krv\u00E1cen\u00ED do HGIT jsou hematemeza a melena. Vz\u00E1cn\u011B, p\u0159i masivn\u00EDm krv\u00E1cen\u00ED a rychl\u00E9 pas\u00E1\u017Ei, se m\u016F\u017Ee i krv\u00E1cen\u00ED do HGIT projevit enteroragi\u00ED. Je\u0161t\u011B p\u0159ed klasick\u00FDmi p\u0159\u00EDznaky, m\u016F\u017Ee v klinick\u00E9m obraze dominovat symptomatologie hemodynamick\u00E9 nestability i s p\u0159echodnou poruchou v\u011Bdom\u00ED nebo komplikacemi z poruch kardiovaskul\u00E1rn\u00EDho syst\u00E9mu (akutn\u00ED infarkt myokardu ). \u010Cast\u00FDm zdrojem krv\u00E1cen\u00ED jsou ulcerace duodena (25 %) a \u017Ealudku (20 %), varixy j\u00EDcn" . "gastrointestinal bleeding; endoscopy; therapy"@en .