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[胃十二指肠溃疡出血的治疗]

[Treatment of gastroduodenal ulcer hemorrhages].

作者信息

Pantsyrev Iu M, Mikhalev A I, Federov E D, Kuzeev E A

出版信息

Khirurgiia (Mosk). 2000(3):21-5.

Abstract

The results of treatment of 901 patients with acute ulcerogenic gastroduodenal bleedings in 1986 to 1997 are analysed. The tactics of the treatment, developed in the clinic, combines active diagnostic and curative measures with differentiated determination of the indications for urgent operative treatment. Improvements of the method for urgent operative treatment, wide implementation of the organ-saving and mini-invasive surgical procedures, usage of new methods for nonoperative (endoscopical) hemostasis, as well as an improvement of the complex for intensive and anti-ulcerogenic therapy enabled in the last group of patients (1994-1997 years) to decrease the postoperative lethality up to 5.9%, and general lethality--to 6.4%.

摘要

分析了1986年至1997年901例急性溃疡性胃十二指肠出血患者的治疗结果。临床制定的治疗策略将积极的诊断和治疗措施与紧急手术治疗适应症的差异化判定相结合。紧急手术治疗方法的改进、器官保留和微创手术的广泛应用、非手术(内镜)止血新方法的使用,以及强化和抗溃疡治疗方案的改进,使得最后一组患者(1994 - 1997年)的术后死亡率降至5.9%,总死亡率降至6.4%。

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