慢性胃溃疡的药物治疗
Medical management of chronic gastric ulcer.
作者信息
FERRIMAN D
出版信息
Gut. 1962 Mar;3(1):38-41. doi: 10.1136/gut.3.1.38.
The results of medical treatment in 113 patients with chronic ulceration of the angulus and vertical part of the stomach are reported. The ulcers failed to heal in 38% and healed but recurred in 22%. The ulcers healed and, except for minor recurrences in a few, remained healed for five years in 40%. The prognosis for patients with ulcers with long histories and large ulcers was poor, and this is true of other series reported in the literature. If such cases had been excluded from the present series the success rate would have risen to 64%. Patients with ulcers in these two categories should be referred for surgery. It is suggested that a trial of medical treatment is justifiable in most other cases, surgery being reserved for its failures.
报告了113例胃角和胃垂直部慢性溃疡患者的药物治疗结果。溃疡未愈合的占38%，愈合但复发的占22%。溃疡愈合，除少数有轻微复发外，40%的患者在五年内保持愈合状态。溃疡病史长和溃疡大的患者预后较差，文献中报道的其他系列病例也是如此。如果将这两类病例排除在本系列之外，成功率将升至64%。这两类溃疡患者应转介进行手术。建议在大多数其他情况下进行药物治疗试验，手术仅用于治疗失败的情况。
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