Alexiu O, Furtunescu B, Mircea N, Balaban M, Jianu E
Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1975 Jul-Aug;24(4):285-9.
A number of 135 cases were examined, presenting with superior digestive hemorrhage of ulcerative origin. The analysis of the cases was made by two comparable groups. In the first one of the groups the volemic re-equillibration was based on the administration of blood and surgery was carried out, in principle, on a "cold" condition. In the second group volemic re-equillibration was achieved exclusively with isotonic non-colloidal volemic solutions that were administered before, during and after surgery (0.9% NaCl solution and 5 g% glucose solution in equal amounts). Surgery was performed as an emergency and vagotomy was made, as well as surgical hemostasis. The results obtained have allowed for the conclusion that, by providing efficient surgical hemostasis and volemic re-equillibration with isotonic non-colloidal solutions blood transfusion and its untoward side-effects can be avoided.
对135例溃疡性上消化道出血病例进行了检查。病例分析由两个可比组进行。在第一组中，血容量再平衡基于输血，原则上在“冷”状态下进行手术。在第二组中，仅用等渗非胶体血容量溶液在手术前、手术中和手术后进行输注（等量的0.9%氯化钠溶液和5%葡萄糖溶液）来实现血容量再平衡。作为急诊进行手术，实施迷走神经切断术以及手术止血。所获得的结果得出结论：通过提供有效的手术止血以及用等渗非胶体溶液进行血容量再平衡，可以避免输血及其不良副作用。
