经皮冠状动脉介入术后合并上消化道出血的治疗

经皮冠状动脉介入治疗术后合并上消化道出血并不少见，发生率和病死率均较高，中止抗血小板治疗后支架内血栓形成风险高，病死率进一步升高。经皮冠状动脉介入治疗术后上消化道出血的治疗需要平衡支架内血栓和严重出血的危险，两者都是威胁生命的并发症。建议给予消化件和心脏科个体化治疗，积极液体复苏和静脉应用质子泵抑制剂，早期行胃镜检查和内镜下治疗，根据评分系统分级调整抗血小板治疗。

Management of Upper Gastrointestinal Hemorrhage After Percutaneous Coronary Intervention

Upper gastrointestinal hemorrhaging is relatively common after percutaneous coronary intervention. The incidence and mortality is high. Cessation of anti-platelet therapy during this procedure carries a high risk of stent thrombosis, which has a higher mortality. Managing these patients requires balancing the risk of stent thrombosis against further catastrophic bleeding. Stent thrombosis and severe gastrointestinal bleeding are life-threatening complications. Individualized specialist gastrointestinal and cardiological management of these patients is recommended. Fluid resuscitation and proton pump inhibition in combination with endoscopy, and endotherapy are advised.