急性非静脉曲张性上消化道出血的规范化诊疗背景定义定义定义定义2015版诊治流程诊断诊断诊断大家学习辛苦了，还是要坚持ANVUGIB得病因诊断食管溃疡Therearebloodcoverederrosionsthroughoutthewholestomach、ThishasledtoaupperGIhemorrhagepromisingthepatienthemodynamically、Thesolereasonwasasingleingestionof400mgofibuprofen溃疡型胃癌Inoperablecholedochalcancer、Awallstenthadbeeninserted3monthsearlier、Thepatientwasadmittedforseverehemorrhage,whichwasendoscopicallyprovedtooriginatefromthebiliaryduct、Thehemorrhagewasnotamenabletoendoscopyandsurgery、Hugebloodclotsprolapsefromthebiliaryduct、ANVUGIB得病因诊断出血严重度与预后得判断出血严重度与预后得判断出血严重度与预后得判断出血严重度与预后得判断出血严重度与预后得判断出血严重度与预后得判断出血严重度与预后得判断ANVUGIB得治疗内镜检查前早期使用PPI得获益胃内PH对止血过程得影响PPI得作用机制