WELCH C E
Calif Med. 1956 Feb;84(2):85-8.
In the past few years gastric resection has become the therapy of choice for patients with massive hemorrhage from duodenal ulcer. When this is done as an emergency procedure the ability of the surgeon is often taxed to the limit. Although sometimes easy, control is often extraordinarily difficult. Many important technical details must be considered in order to attain a successful outcome. This method of therapy has proved to be very satisfactory with patients who are in good condition for operation, and even in the poorer risks seen on ward service has resulted in a surgical mortality of only 7 per cent in all patients less than 60 years of age treated for this extremely severe type of hemorrhage. In the older age groups mortality rates still remain high.
在过去几年中，胃切除术已成为十二指肠溃疡大出血患者的首选治疗方法。当作为急诊手术进行时，外科医生的能力常常受到极大考验。尽管有时操作简单，但出血控制往往极其困难。为了获得成功的结果，必须考虑许多重要的技术细节。对于身体状况适合手术的患者，这种治疗方法已被证明非常令人满意，甚至对于病房中风险较高的患者，在所有接受这种极其严重类型出血治疗的60岁以下患者中，手术死亡率仅为7%。在老年患者群体中，死亡率仍然很高。
