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[外科患者胃和十二指肠急性溃疡及糜烂发生的预后与预防]

[The prognosis and prevention of the occurrence of acute ulcers and erosions of the stomach and duodenum in surgical patients].

作者信息

Chernov V N, Miziev I A, Belik B M

出版信息

Vestn Khir Im I I Grek. 1999;158(6):12-5.

Abstract

Acute ulceration of the gastric and duodenal mucosa was found in 20.3% among 404 patients who died at the surgical department of the hospital. In 89.7% of the patients acute erosive-ulcerous lesions were localized in the gastric mucosa. In 39 patients (9.7%) acute ulcers of the stomach and duodenum complicated by bleedings or perforations were the direct cause of death. Based on results of an analysis of severity of the main and concomitant diseases as well as their complications the authors have determined the factors responsible for the appearance of the ulcers. A complex of prophylactic measures aimed at the main links of the pathogenesis of acute ulcers is proposed.

摘要

在该医院外科死亡的404例患者中,20.3%发现有胃和十二指肠黏膜急性溃疡。89.7%的患者急性糜烂性溃疡病变位于胃黏膜。39例(9.7%)胃和十二指肠急性溃疡合并出血或穿孔是直接死亡原因。基于对主要疾病和伴随疾病严重程度及其并发症的分析结果,作者确定了导致溃疡出现的因素。提出了针对急性溃疡发病机制主要环节的一系列预防措施。

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